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CLINICA MEDICA DE DALLAS P.A. NPI 1861666018


NPI Information

NPI: 1861666018
Provider Name: CLINICA MEDICA DE DALLAS, P.A.
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

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

CLINICA MEDICA DE DALLAS, P.A. is a geriatric medicine family medicine in Dallas, TX. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. CLINICA MEDICA DE DALLAS, P.A. NPI is 1861666018. 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
Fax: (214) 823-6638

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 4/18/2008 and was last updated on 4/18/2008.


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
1207QG0300XFamily MedicineGeriatric 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

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

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