Provider Type Icon

DALLAS INSTITUTE OF ADVANCED MEDICINE INC. NPI 1417128505


NPI Information

NPI: 1417128505
Provider Name: DALLAS INSTITUTE OF ADVANCED MEDICINE INC.
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
2909 S HAMPTON RD
SUITE F- 122, LOCK BOX 29
DALLAS, TX
ZIP 75224
Phone: (214) 339-9350
Get Directions

DALLAS INSTITUTE OF ADVANCED MEDICINE INC. is a community health clinic center in Dallas, TX. DALLAS INSTITUTE OF ADVANCED MEDICINE INC. NPI is 1417128505. The provider is registered as an organization entity type.

The provider's business location address is:

2909 S HAMPTON RD
SUITE F- 122, LOCK BOX 29
DALLAS, TX
ZIP 75224-000
Phone: (214) 339-9350
Fax: (214) 331-9164

The provider's authorized official is Edwin Escobar-vazquez .
The authorized official title is President and has the following contact phone number (214) 339-9350.

The enumeration date for this NPI number is 3/17/2008 and was last updated on 10/9/2008.


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
1261QC1500XClinic/CenterCommunity HealthJ1085TEXASYes

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
1F41259MEDICARE UPINTEXAS

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.