SOUTHERN FAMILY MEDICAL CLINIC INC. (NPI# 1184824682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184824682 |
Entity Type | Organization |
Organization Name | SOUTHERN FAMILY MEDICAL CLINIC INC. |
Practice Address |
1927 E Belt Line Rd 146 Carrollton TX 75006-5821 |
Practice Telephone | 2147313027 |
Enumeration Date | 2007-07-23 |
Last Update Date | 2007-07-23 |
Authorized Official Name | PA PAN (DIRECTOR) |
Authorized Official Telephone | 2147313027 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
261Q00000X | TX | Ambulatory Health Care Facilities |
Street Address |
1927 E BELT LINE RD 146 |
City | CARROLLTON |
State | TX |
Zip Code | 75006-5821 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609924166 | Renato Deperalta Pinzon | Family Medicine | 1927 E Belt Line Rd, Suite 146, Carrollton, TX 75006-5821 | 2007-01-08 |
1114273208 | Glory Home Health Services Inc | Home Health | 1927 E Belt Line Rd, Suite 146, Carrollton, TX 75006-5821 | 2012-07-26 |
1720389265 | 2ffordable Family Clinic Inc. | Family Medicine | 1927 E Belt Line Rd, Ste 146, Carrollton, TX 75006-5821 | 2010-11-16 |
1538477146 | Biosky Medical Clinic, Inc | Specialist | 1927 E Belt Line Rd, Suite 146, Carrollton, TX 75006-5821 | 2010-09-16 |
1780812412 | Cora Teresa Lemens | Physician Assistant | 1927 E Belt Line Rd, #146, Carrollton, TX 75006-5821 | 2009-07-01 |
1215183454 | Tony Phan Od | Optometrist | 1927 E Belt Line Rd, Suite 166, Carrollton, TX 75006-5821 | 2008-08-07 |
1679737712 | Tony Van Phan | Optometrist | 1927 E Belt Line Rd, Suite 166, Carrollton, TX 75006-5821 | 2008-07-17 |
1508917246 | Southwestern Family Pharmacy&southern Medical Family,inc. | Clinic/Center | 1927 E Belt Line Rd, Suite 146, Carrollton, TX 75006-5821 | 2007-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
1215422712 | Jennifer Rebecca Joseph | Nurse Anesthetist, Certified Registered | 1446 E Trinity Mills Rd, Carrollton, TX 75006 | 2018-06-27 |
1619479185 | Dedrie Marie Beck | Physical Therapy Assistant | 1000 W. Crosby Road, Carrollton, TX 75006 | 2018-03-01 |
1851892475 | Springcare Enterprises | Clinic/Center | 2840 Keller Springs Road, Suite 601, Carrollton, TX 75006 | 2018-02-28 |
1659892685 | Brandon Maughan | Social Worker | 1100 West Jackson Road, Carrollton, TX 75006 | 2017-06-29 |
1568997500 | Ad Precision Health Clinic, Pllc | Specialist | 2810 E. Trinity Mills Road, Suite 130, Carrollton, TX 75006 | 2017-04-27 |
1366992976 | Total Body Chiropractic | Chiropractor | 2201 Midway Rd Ste 107, Carrollton, TX 75006 | 2016-10-06 |
1679021042 | Keturah Health, LLC | Internal Medicine | 1420 Valwood Parkway, 170a, Carrollton, TX 75006 | 2016-09-14 |
1104202019 | Dazzling Smiles Dental | Dentist | 2145 North Josey Lane., Carrollton, TX 75006 | 2015-08-03 |
1336533595 | First Texas Hospital Carrollton LLC | General Acute Care Hospital | 1401 E. Trinity Mills Rd, Carrollton, TX 75006 | 2015-03-26 |
Find all providers in zip 75006 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740814532 | Njp Pllc | Clinic/Center | 1790 King Arthur Blvd Ste 140, Carrollton, TX 75010-2041 | 2020-03-02 |
1598316275 | Careatc | Clinic/Center | 1735 Keller Springs Rd Ste 100, Carrollton, TX 75006-2999 | 2019-09-24 |
1013463488 | Kuraoka Clinic Texas, Pllc | Clinic/Center | 3012 E Hebron Pkwy Ste 104, Carrollton, TX 75010-4461 | 2016-08-26 |
1417311382 | Mainmedplus Pllc | Clinic/Center | 3044 Old Denton Rd Ste 115, Carrollton, TX 75007-5074 | 2016-04-07 |
1306190921 | Pickens County Health Care Authority | Clinic/Center | 289 William E Hill Dr Ste C, Carrollton, AL 35447-3247 | 2012-11-05 |
1013407451 | Renovar Wellcare Pllc | Clinic/Center | 4217 Marsh Ridge Rd Ste 100, Carrollton, TX 75010 | 2018-05-10 |
1568816296 | Mainmedplus Pllc | Clinic/Center | 3044 Old Denton Rd Ste 115, Carrollton, TX 75007-5074 | 2016-04-19 |
1417316159 | Us Medclinic LLC | Clinic/Center | 714 Cedar St, Carrollton, GA 30117-2415 | 2016-02-22 |
1144689373 | Mainmedplus | Clinic/Center | 3044 Old Denton Rd, Ste 115, Carrollton, TX 75007-5016 | 2016-02-16 |
1508115718 | Fairway Family Medicine-primary Care, Pllc | Clinic/Center | 4100 Fairway Dr, 320, Carrollton, TX 75010-6525 | 2012-09-04 |
Find all providers in CARROLLTON |
City | CARROLLTON |
Zip Code | 75006 |
Please comment or provide details below to improve the information on SOUTHERN FAMILY MEDICAL CLINIC INC..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.