LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC. (NPI# 1578874806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578874806 |
Entity Type | Organization |
Organization Name | LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC. |
Practice Address |
3111 Sylvan Ave Dallas TX 75212-4028 |
Mailing Address |
809 Singleton Blvd Dallas TX 75212-4014 |
Practice Telephone | 2146518739 |
Practice Fax Number | 2146519514 |
Mailing Telephone | 2146518739 |
Mailing Fax Number | 2146519514 |
Enumeration Date | 2010-07-01 |
Last Update Date | 2011-08-24 |
Authorized Official Name | LEONOR MARQUEZ (CEO) |
Authorized Official Telephone | 2145400302 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811209141 | Los Barrios Unidos Community Clinic, Inc. | Clinic/Center | 405 Stadium Dr, Grand Prairie, TX 75050-3588 | 2010-07-01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC. | 809 Singleton Blvd, Dallas, TX 75212-4014 |
Street Address |
3111 SYLVAN AVE |
City | DALLAS |
State | TX |
Zip Code | 75212-4028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144259706 | Lavanya Gopalakrishnan | Family Medicine | 3111 Sylvan Ave, Dallas, TX 75212-4028 | 2006-07-03 |
1083977052 | Dimitra Angeli | Pediatrics | 3111 Sylvan Ave, Dallas, TX 75212-4028 | 2012-06-24 |
1528207164 | Jhudy Mohan | Nurse Practitioner | 3111 Sylvan Ave, Dallas, TX 75212-4028 | 2009-02-04 |
1891911582 | Oakcliff Ob-gyn Associates | Obstetrics & Gynecology | 3111 Sylvan Ave, Dallas, TX 75212-4028 | 2007-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710505698 | Madeline Michele Howell | Speech-Language Pathologist | 2535 Lone Star Drvie, Dallas, TX 75212 | 2020-07-08 |
1669015327 | Friendly Companion and Homemakers LLC | Home Health Aide | 2424 Poinciana Ln, Dallas, TX 75212 | 2019-10-24 |
1801455415 | Crystal Rose Arriola | Marriage & Family Therapist | 2200 Dennison Street, Dallas, TX 75212 | 2019-06-07 |
1326580341 | Lauren Diaz | Specialist/Technologist | 2614 Jim St, Dallas, TX 75212 | 2016-11-08 |
1598160715 | Lw Alf Ops Co, LLC | Assisted Living Facility | 3494 Kingbridge Street, Dallas, TX 75212 | 2014-10-30 |
1275941171 | Julius Hamilton IIi | Speech-Language Pathologist | 3030 North Hampton Road, Apt. 4303, Dallas, TX 75212 | 2014-07-24 |
1255596532 | Navaneetha Brindha Natchimuthu | Dentist | 2223 Singleton Blvd #212, Dallas, TX 75212 | 2008-07-25 |
1538335708 | Nina S. Ray | Dentist | 2223 Singleton Blvd Ste 212, Dallas, TX 75212 | 2008-05-07 |
1346468998 | Maureen Rae Nall | Speech-Language Pathologist | 2535 Lone Star Dr., Dallas, TX 75212 | 2007-04-20 |
1467571117 | Yeisha Celeste Culp | Physical Therapist | 2535 Lone Star Drive, Dallas, TX 75212 | 2007-03-27 |
Find all providers in zip 75212 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104476431 | Lbu Health Center South | Clinic/Center | 5787 S Hampton Rd Ste 365, Dallas, TX 75232-6336 | 2019-09-18 |
1457802449 | Los Barrios Unidos Community Clinic | Clinic/Center | 4732 W Illinois Ave, Dallas, TX 75211-6502 | 2016-10-14 |
1235547787 | Los Barrios Unidos Community Clinic, Inc | Clinic/Center | 4732 W. Illinois, Dallas, TX 75211 | 2014-07-29 |
1730668617 | Healing Hands Ministries, Inc. | Clinic/Center | 5750 Pineland Dr # 240, Dallas, TX 75231-5300 | 2018-08-10 |
1225517352 | Healing Hands Ministries, Inc | Clinic/Center | 5750 Pineland Dr # 260, Dallas, TX 75231-5300 | 2018-08-09 |
1427568658 | Healing Hands Ministries Inc. | Clinic/Center | 5750 Pineland Dr # 150, Dallas, TX 75231 | 2017-10-02 |
1851492557 | Martin Luther King Jr Family Clinic | Clinic/Center | 2922 Martin Luther King Jr Blvd, Building B, Dallas, TX 75215-2321 | 2006-09-26 |
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1720688534 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 | 2020-10-30 |
1053918516 | Legacy Community Health Services, Inc. | Clinic/Center | 13703 Aldine Westfield Rd, Houston, TX 77039-2001 | 2020-10-07 |
1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
1568075638 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center, Suite 1317, Wharton, TX 77488-9719 | 2020-08-28 |
1144831835 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center Drive Suite 1315, Wharton, TX 77488-9719 | 2020-08-14 |
1780295741 | East Texas Border Health Clinic | Clinic/Center | 705 S Grove St, Marshall, TX 75670-5220 | 2020-08-13 |
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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.