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MULTI SPECIALTY CLINIC OF TEXAS PLLC NPI 1962903252


NPI Information

NPI: 1962903252
Provider Name: MULTI SPECIALTY CLINIC OF TEXAS PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D1026038

Address:
3453 SAINT FRANCIS AVE
125
DALLAS, TX
ZIP 75228
Phone: (469) 779-0884
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MULTI SPECIALTY CLINIC OF TEXAS PLLC 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. MULTI SPECIALTY CLINIC OF TEXAS PLLC NPI is 1962903252. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3453 SAINT FRANCIS AVE
125
DALLAS, TX
ZIP 75228-199
Phone: (469) 779-0884
Fax: (469) 779-0920

The provider's authorized official is Aleyamma Mathew .
The authorized official title is Fnp and has the following contact phone number (469) 779-0884.

The CLIA number assigned to this NPI record is 45D1026038 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2018 and was last updated on 2/22/2018.


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 MedicineAP-133700TEXASYes

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
11760911572OTHERTEXASNPI

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.