Pediaq Texas LLC
NPI 1326415779ActiveOrganization· Nurse Practitioner, Pediatrics· Dallas, TX
Nurse Practitioner, Pediatrics in Dallas, Texas, registered in NPPES in September 2015, part of Pediaq LLC. The authorized official on file is Jon Osullivan, Owner.
Overview
| NPI | 1326415779 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pediaq LLC |
| NPI issued | Sep 1, 2015 |
| Last updated in NPPES | Sep 1, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | — | — |
| Nurse Practitioner, Pediatrics, Critical Care | 363LP0222X | 226944 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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