Provider Demographics
NPI:1013992692
Name:DPP II, LLC
Entity type:Organization
Organization Name:DPP II, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CCO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-390-4040
Mailing Address - Street 1:14114 DALLAS PKWY STE 530
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-1346
Mailing Address - Country:US
Mailing Address - Phone:972-735-0801
Mailing Address - Fax:972-655-0225
Practice Address - Street 1:14114 DALLAS PKWY STE 530
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-1346
Practice Address - Country:US
Practice Address - Phone:972-735-0801
Practice Address - Fax:972-655-0225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-07
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171126901Medicaid
TX008936OtherHHS LICENSE