# SIGNIFY HEALTH MEDICAL ASSOCIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750845863
- **Authorized official:** ROBERT SHAWN BRONKE (MANAGER, PROVIDER ENROLLMENT)
- **Authorized official phone:** (469) 909-6746

## Contact information

- **Practice address:** 4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
- **Practice address phone:** (972) 715-3800
- **Mailing address:** 4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/23/2019
- **Last updated:** 09/01/2026