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Hisayo Pelton, CNP — NPI 1649004557, Dallas, TX | NPI Central

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Hisayo Pelton, CNP

NPI 1649004557 · Family Medicine Physician · Dallas, TX

Provider details

NPI number: 1649004557
Entity type: Individual
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: CNP
Sex: Female
Sole proprietor: Yes
License: 2026003045 (MO)

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000XLicense 1144651 (TX)
Allopathic & Osteopathic Physicians
Family Nurse Practitioner363LF0000XLicense 2026003045 (MO)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

8418 Lullwater Dr

Dallas, TX 75218-1150

Phone: (214) 503-0590

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

8418 Lullwater Dr

Dallas, TX 75218-1150

Additional practice locations (1)

2016 S Main St
Maryville, MO 64468-2655
Phone: (660) 562-7039
Fax: (660) 562-7994

Registry dates

Enumerated: 2024-09-02
Last updated: 2026-03-20
Certified: 2026-03-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.