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

Pediaq Texas LLC

Organization Pediatric Nurse Practitioner · NPI 1326415779

Pediaq Texas LLC is a Pediatric Nurse Practitioner in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17101 Preston Rd Ste 115
Dallas, TX 75248-1331
Phone: (214) 984-3900
Fax: (972) 294-3343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X
Critical Care Pediatric Nurse Practitioner Taxonomy 363LP0222X · Licence 226944 (TX)

Record details

NPI number1326415779
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPediaq LLC
Authorized official Jon Osullivan — Owner · 21498439000
NPI enumeratedSeptember 1, 2015
Last updated in NPPESSeptember 1, 2015
Mailing address17101 Preston Rd, Ste 115, Dallas, TX 75248-1331

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