DOUGLAS AVENUE MEDICAL MANAGEMENT CO NPI 1447448063

NPI Information

NPI: 1447448063
Provider Name: DOUGLAS AVENUE MEDICAL MANAGEMENT CO

Doing Business As: ROCHA GENERAL MEDICINE CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3330 DOUGLAS AVE
DALLAS, TX
ZIP 75219
Phone: (214) 522-3930
Get Directions

DOUGLAS AVENUE MEDICAL MANAGEMENT CO is a general practice in Dallas, TX. DOUGLAS AVENUE MEDICAL MANAGEMENT CO NPI is 1447448063. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rocha General Medicine Clinic.

The provider's business location address is:

3330 DOUGLAS AVE
DALLAS, TX
ZIP 75219-717
Phone: (214) 522-3930

The provider's authorized official is Alberto Ricardo Rocha .
The authorized official title is Vp Operations and has the following contact phone number (214) 522-3930.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 10/9/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		D3385		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00224W	OTHER	TEXAS	MEDICARE GROUP #

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »