LINDALE MEDICAL DENTAL GROUP (NPI# 1700942653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700942653 |
Entity Type | Organization |
Organization Name | LINDALE MEDICAL DENTAL GROUP |
Other Organization Name | JESUS CAQUIAS ERNESTO DAVILA |
Practice Address |
500 Paredes Line Rd #3 Brownsville TX 78521-2583 |
Practice Telephone | 9565412162 |
Practice Fax Number | 9565418043 |
Mailing Telephone | 9565412162 |
Mailing Fax Number | 9565418043 |
Enumeration Date | 2006-12-28 |
Last Update Date | 2008-03-18 |
Authorized Official Name | DR. ERNESTO S DAVILA (MANAGING PARTNER) |
Authorized Official Telephone | 9565412162 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Jesus Caquias Ernesto Davila | Former Legal Business Name - Organization |
Street Address |
500 PAREDES LINE RD #3 |
City | BROWNSVILLE |
State | TX |
Zip Code | 78521-2583 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972906709 | Sion Kidz, LLC | Occupational Therapy Assistant | 500 Paredes Line Rd, Suite C, Brownsville, TX 78521-2583 | 2014-10-07 |
1376678904 | Lindale Medical Laboratory | Clinical Medical Laboratory | 500 Paredes Line Rd, Suite 6, Brownsville, TX 78521-2583 | 2007-02-23 |
1972603488 | Ernesto S. Davila | Dentist | 500 Paredes Line Rd, Suite # 7, Brownsville, TX 78521-2583 | 2006-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942811401 | D&r Medical Supplies | Durable Medical Equipment & Medical Supplies | 1805 Ruben M. Torrez Ste. C1, Brownsville, TX 78521 | 2020-08-10 |
1467085829 | Ariel Ann Cruz | Pharmacist | 2950 Souhmost Rd, Brownsville, TX 78521 | 2020-02-13 |
1659901908 | Luis Villarreal | Music Therapist | 1786 Coffee Rd, Brownsville, TX 78521 | 2020-01-24 |
1356999361 | Ambrose Eternity Home Services, LLC. | Technician | 3505 Boca Chica Blvd., Ste. 205, Brownsville, TX 78521 | 2019-09-03 |
1578128641 | South Texas Lymphedema Care LLC | Occupational Therapist | 35 Casa De Palmas, Brownsville, TX 78521 | 2019-05-04 |
1649752262 | Cristina Morales | Specialist/Technologist | 4430 E. 14th St. Unit E, Brownsville, TX 78521 | 2018-08-30 |
1831679182 | Josue Peralez | Occupational Therapy Assistant | 4430 E 14th St Unit E Brownsville, Tx 78521, Brownsville, TX 78521 | 2018-08-16 |
1386138170 | Chang Joo Lee | Dentist | 2950 Southmost Blvd, Suite 103, Brownsville, TX 78521 | 2018-06-15 |
1053822676 | Brownsville Adult and Pediatric Clinic | Nurse Practitioner | 3510 Southmost Road, Suite C, Brownsville, TX 78521 | 2017-10-23 |
1174041032 | Stephanie Hernandez | Specialist/Technologist | 532 Fresa, Brownsville, TX 78521 | 2017-08-31 |
Find all providers in zip 78521 |
Taxonomy Code | 2085U0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Ultrasound |
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902439 | In The Image | Radiology | 2984 Bertha St, Brownsville, TX 78521-3824 | 2020-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528674843 | Chelsea Lewis | Radiology | 1014 Fm 226, Nacogdoches, TX 75961-6632 | 2020-09-22 |
1003420779 | Millennium Radiology Inc | Radiology | 9123 Osage Vly, San Antonio, TX 78251-1739 | 2020-09-01 |
1043823537 | Richer Fu | Radiology | 7234 S Dairy Ashford Rd, Houston, TX 77072-2110 | 2020-08-25 |
1477174993 | Arvin Penacerrada | Radiology | 111 Vision Park Blvd Ste 250, Shenandoah, TX 77384-3004 | 2020-05-06 |
1871113837 | Carolyn Hong Nguyen | Radiology | 18220 Tx 249, Houston, TX 77070 | 2020-04-20 |
1750914057 | Samuel Oltunji Apata | Radiology | 19618 Heritage Elm Ct, Houston, TX 77084-4390 | 2020-02-15 |
1922669035 | Westchase Diagnostic Imaging Center LLC | Radiology | 13450 Richmond Ave Ste 300, Houston, TX 77082-6895 | 2019-06-28 |
1558825869 | Ellen Catherine Leone | Radiology | 7400 Louis Pasteur Dr Ste 106, San Antonio, TX 78229-4510 | 2019-01-31 |
1598269276 | Veronica Hernandez | Radiology | 13831 Northwest Fwy Ste 110, Houston, TX 77040-5232 | 2018-03-19 |
1346740818 | Kimberly Orta | Radiology | 2107 Frio Dr, Rosharon, TX 77583-3035 | 2018-02-20 |
Find all providers with the same taxonomy |
City | BROWNSVILLE |
Zip Code | 78521 |
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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.