DALLAS INSTITUTE OF ADVANCED MEDICINE INC. (NPI# 1417128505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417128505 |
| Entity Type | Organization |
| Organization Name | DALLAS INSTITUTE OF ADVANCED MEDICINE INC. |
| Practice Address |
2909 S Hampton Rd Suite F- 122, Lock Box 29 Dallas TX 75224-3000 |
| Mailing Address |
Dallas Institute of Advanced Medicine Inc6 P.o. Box 9236 Dallas TX 75209-9236 |
| Practice Telephone | 2143399350 |
| Practice Fax Number | 2143319164 |
| Mailing Telephone | 2143399350 |
| Mailing Fax Number | 2143319164 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-10-09 |
| Authorized Official Name | DR. EDWIN ESCOBAR-VAZQUEZ (PRESIDENT) |
| Authorized Official Telephone | 2143399350 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
J1085 | TX | Ambulatory Health Care Facilities |
| Street Address |
2909 S HAMPTON RD SUITE F- 122, LOCK BOX 29 |
| City | DALLAS |
| State | TX |
| Zip Code | 75224-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264930 | Morris M Prigoff | Podiatrist | 2909 S Hampton Rd, Ste B102, Dallas, TX 75224-3047 | 2005-06-13 |
| 1609225101 | Jhasmun Crutcher | Nurse Practitioner | 2909 S Hampton Rd, Suite 107, Dallas, TX 75224-3000 | 2016-06-07 |
| 1467890954 | James E. Race Md Pa | Internal Medicine | 2909 S Hampton Rd, Ste E220, Dallas, TX 75224-3000 | 2013-06-06 |
| 1942522560 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 2909 S Hampton Rd, B-102, Dallas, TX 75224-3000 | 2010-02-23 |
| 1629309026 | J A Bianco D O P A | Surgery | 2909 S Hampton Rd, Ste C108, Dallas, TX 75224-3000 | 2010-01-25 |
| 1619196276 | Hch Medical Clinic, Inc | Family Medicine | 2909 S Hampton Rd, Ste E123, Dallas, TX 75224-3000 | 2007-04-24 |
| 1639241953 | William F Stiles | Pediatrics | 2909 S Hampton Rd, Suite C 106 Lock Box 23, Dallas, TX 75224-3000 | 2006-11-14 |
| 1346310588 | Lamanna Urology Associates | Urology | 2909 S Hampton Rd, Suite 101d, Dallas, TX 75224 | 2006-11-08 |
| 1528144706 | Samuel C Ngwu | Internal Medicine | 2909 S Hampton Rd, Suite F-122, Dallas, TX 75224-3000 | 2006-10-31 |
| 1902993322 | Joseph L Lamanna IIi | Urology | 2909 S Hampton Rd, Suite 101d, Dallas, TX 75224 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133999 | Bra'sheika Renee Johnson | Pharmacist | 752 Wynnewood Village S/c, Dallas, TX 75224 | 2020-01-17 |
| 1821523317 | Hao Anh Dang | Dentist | 2221 W Ledbetter Dr Ste 100, Dallas, TX 75224 | 2017-04-22 |
| 1568820009 | Ashley Nicole Green | Dentist | 2221 W. Ledbetter Drive, Suite 100, Dallas, TX 75224 | 2016-01-28 |
| 1194138867 | Laurie Smith | Licensed Vocational Nurse | 3622 S Tyler St, Dallas, TX 75224 | 2014-06-10 |
| 1346667474 | Sherry Diann Flewellen-ervin | Counselor | 501 Wynnwood Village, Dallas, TX 75224 | 2014-03-26 |
| 1326381880 | Mercy Housecall Physicians Group, LLC | Clinic/Center | 501 Wynnrwood Village, Ste 102a, Dallas, TX 75224 | 2013-04-03 |
| 1437416971 | Masako Nishio M.d., P.a. | Anesthesiology | 2929 South Hampton Rd, Dallas, TX 75224 | 2012-04-23 |
| 1306119177 | Truevision Eye Care P.a. | Optometrist | 911 Wynnewood Village, Dallas, TX 75224 | 2012-02-09 |
| 1639449358 | Access Dental of Illinois Pa | Dentist | 2304 W Illinois Ave, Dallas, TX 75224 | 2012-01-11 |
| 1659649317 | Shambresha Lanette Sewell | Assisted Living Facility | 3911 Morning Spring Trl, Dallas, TX 75224 | 2011-12-09 |
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| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 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.