SOUTH TEXAS MEDICAL CENTER (NPI# 1427183987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427183987 |
| Entity Type | Organization |
| Organization Name | SOUTH TEXAS MEDICAL CENTER |
| Practice Address |
2506 S Lancaster Rd Dallas TX 75216-2532 |
| Practice Telephone | 2143742880 |
| Practice Fax Number | 2143742853 |
| Mailing Telephone | 2143742880 |
| Mailing Fax Number | 2143742853 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JILL WAGGONER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2143742880 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | J4593 | TX | Other Service Providers |
| Street Address |
2506 S LANCASTER RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75216-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235420076 | Montgomery Behavioral Health Institute, LLC | Psychologist | 2506 S Lancaster Rd, Dallas, TX 75216-2532 | 2011-04-27 |
| 1215228341 | T. L. Jackson | Psychologist | 2506 S Lancaster Rd, Dallas, TX 75216-2532 | 2011-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in zip 75216 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720404536 | Texas Star Anesthesia Management, LLP | Legal Medicine | 4020 Mcewen Rd, Suite 177, Dallas, TX 75244-5019 | 2014-03-17 |
| 1174779722 | Impairment & Disability Analysis, Lp | Legal Medicine | 2001 Bryan St Ste 1900, Dallas, TX 75201-3002 | 2008-08-14 |
| 1043233604 | John A Demopulos | Legal Medicine | 7777 Forest Ln Ste B216, Dallas, TX 75230 | 2006-07-25 |
| 1669967469 | Tiwalade Akinhanmi | Legal Medicine | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2018-06-25 |
| 1659756682 | Truconsent, Inc. | Legal Medicine | 8117 Preston Rd, Suite 300, Dallas, TX 75225-6332 | 2015-07-20 |
| 1902061278 | Excel Performance Medical Center | Legal Medicine | 5550 Lbj Fwy, Suite 360, Dallas, TX 75240-6217 | 2008-07-25 |
| 1306024039 | Steven Latulippe Md PC | Legal Medicine | 531 Se Clay St, Dallas, OR 97338-2865 | 2008-02-05 |
| 1831385319 | Sheri Murray Angustia | Legal Medicine | 13999 Goldmark Dr, Suite 340, Dallas, TX 75240-4234 | 2007-09-19 |
| 1710172093 | Domicilliary Service LLC | Legal Medicine | 1513 Viceroy Dr, Dallas, TX 75235-2303 | 2007-09-11 |
| 1891807426 | Lina Ahmad Ghory | Legal Medicine | 4500 S Lancaster Rd, Clinic 11, Dallas, TX 75216-7167 | 2006-08-31 |
| Find all providers in DALLAS | ||||
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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.