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CLINICA MEDICA DE DALLAS P.A. NPI 1295895290


NPI Information

NPI: 1295895290
Provider Name: CLINICA MEDICA DE DALLAS, P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4811A COLUMBIA AVE
DALLAS, TX
ZIP 75226
Phone: (214) 823-5590
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CLINICA MEDICA DE DALLAS, P.A. is a family medicine in Dallas, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CLINICA MEDICA DE DALLAS, P.A. NPI is 1295895290. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4811A COLUMBIA AVE
DALLAS, TX
ZIP 75226-034
Phone: (214) 823-5590

The provider's authorized official is Benigno Buentipo .
The authorized official title is Vice President and has the following contact phone number (214) 823-5590.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 4/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100496UMEDICARE PINTEXAS
200034HMEDICARE ID-TYPE UNSPECIFIEDTEXASGROUP MEDICARE #
300034HMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.