Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Las Colinas Physical Medicine PLLC

Organization Emergency Medicine Physician · NPI 1578285755

Las Colinas Physical Medicine PLLC is an Emergency Medicine Physician in Irving, Texas. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

122 W John Carpenter Fwy Ste 105
Irving, TX 75039-2024
Phone: (972) 378-0383
Fax: (972) 403-3434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1578285755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gennie Budet — Credentialing Director · (702) 462-9729
NPI enumeratedSeptember 14, 2022
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023
Mailing address122 W John Carpenter Fwy Ste 105, Irving, TX 75039-2024

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