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SOUTH DALLAS MEDICAL CENTER INC NPI 1831728179


NPI Information

NPI: 1831728179
Provider Name: SOUTH DALLAS MEDICAL CENTER INC

Other Name: SOUTH DALLAS MEDICAL CENTER INC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1709 MARTIN LUTHER KING JR BLVD STE C
DALLAS, TX
ZIP 75215
Phone: (469) 256-4063
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SOUTH DALLAS MEDICAL CENTER INC 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. SOUTH DALLAS MEDICAL CENTER INC NPI is 1831728179. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is South Dallas Medical Center Inc.

The provider's business location address is:

1709 MARTIN LUTHER KING JR BLVD STE C
DALLAS, TX
ZIP 75215-282
Phone: (469) 256-4063
Fax: (469) 305-7422

The provider's authorized official is Elizabeth Adebayo .
The authorized official title is Fnp-bc and has the following contact phone number (469) 305-7386.

The enumeration date for this NPI number is 4/8/2020 and was last updated on 1/19/2022.


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

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.