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Pediaq Texas LLC

Pediatric Nurse Practitioner in Dallas, TX · enumerated 2015 · authorized official Jon Osullivan, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1326415779

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Registry record

Entity type Organization (Type 2)
Legal business name Pediaq Texas LLC
Parent organization Pediaq LLC
Practice address 17101 Preston Rd, Ste 115, Dallas, TX, 75248
Phone (214) 984-3900
Fax (972) 294-3343
Enumeration date Sep 1, 2015
Last updated in NPPES Sep 1, 2015

Taxonomy & classification

363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary
363LP0222X Critical Care Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 226944 (TX) Secondary

Authorized official

Name Jon Osullivan
Title Owner
Phone 21498439000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-09-01. Verify at npiregistry.cms.hhs.gov.
Where is Pediaq Texas LLC located?
The practice location on file with NPPES is in Dallas, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-09-01.