OrganizationActive
Specialty Clinics of Dallas
NPI 1790179802 · Multi-Specialty Clinic/Center · Desoto, TX
Provider details
- NPI number
- 1790179802
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Margaret Martinez, Practice Administrator(469) 206-2630
- License
- AP125211 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2707 Bolton Boone Dr Ste 100
Desoto, TX 75115-2077
Phone: (469) 206-2630
Fax: (214) 730-4281
Street-level locationGet directions
Mailing address
2707 Bolton Boone Dr Ste 100
Desoto, TX 75115-2077
Other names (DBA / former)
- Other name
- Excel Family Medicine & Pediatrics
Registry dates
- Enumerated
- 2015-03-26
- Last updated
- 2021-04-07
- Certified
- 2021-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.