OrganizationActive
Equilyst LLC.
NPI 1679123632 · Clinic/Center · Dallas, TX
Provider details
- NPI number
- 1679123632
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William York, Managing Member(337) 580-0710
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2909 Canton St Ste C
Dallas, TX 75226-3508
Phone: (214) 984-3696
Fax: (469) 523-5503
Street-level locationGet directions
Mailing address
3131 Main St Apt 122
Dallas, TX 75226-1530
Other names (DBA / former)
- Doing business as
- Equilyst Modern Medicine
Registry dates
- Enumerated
- 2019-09-12
- Last updated
- 2019-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.