DFW COMMUNITY MEDICAL GROUP PLLC (NPI# 1942674296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942674296 |
| Entity Type | Organization |
| Organization Name | DFW COMMUNITY MEDICAL GROUP PLLC |
| Other Organization Name | COMMUNITY MEDICAL CLINIC |
| Practice Address |
1901 W Irving Blvd Irving TX 75061-6823 |
| Practice Telephone | 2145700006 |
| Practice Fax Number | 4695865909 |
| Mailing Telephone | 2145700006 |
| Mailing Fax Number | 4695865909 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2016-12-02 |
| Authorized Official Name | MR. HAMZAT ADEFEMI OSHUN (OWNER) |
| Authorized Official Telephone | 9403002947 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP128978 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP128978 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261Q00000X | Clinic/Center | AP128978 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Medical Clinic | Doing Business As Name - Organization |
| Street Address |
1901 W IRVING BLVD |
| City | IRVING |
| State | TX |
| Zip Code | 75061-6823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245216712 | Sergio Grossling | Emergency Medicine | 1901 W Irving Blvd, Suite 100, Irving, TX 75061-6823 | 2005-12-16 |
| 1124489141 | Margarita Pena-obando | Chiropractor | 1901 W Irving Blvd, Irving, TX 75061-6823 | 2016-03-18 |
| 1518335090 | Hamzat Adefemi Oshun | Nurse Practitioner | 1901 W Irving Blvd, Irving, TX 75061-6823 | 2015-09-14 |
| 1164807061 | Christopher A. Emdin | Dentist | 1901 W Irving Blvd, Irving, TX 75061-6823 | 2015-07-21 |
| 1962649756 | Opticare Home Health Services Inc | Home Health | 1901 W Irving Blvd, Ste 400, Irving, TX 75061-6823 | 2009-01-15 |
| 1609083880 | Amos Momanyi Abuga | Pharmacist | 1901 W Irving Blvd, Irving, TX 75061-6823 | 2007-05-17 |
| 1376653105 | Focus Imaging Inc | Clinic/Center | 1901 W Irving Blvd, Suite 900, Irving, TX 75061-6823 | 2006-08-30 |
| 1346258860 | Amelia Marie Williams | Dentist | 1901 W Irving Blvd, Irving, TX 75061-6823 | 2006-08-03 |
| 1558323857 | Molina Medical Management Group.ltd | General Practice | 1901 W Irving Blvd, Suite 100, Irving, TX 75061-6823 | 2006-04-04 |
| 1417922766 | Molina Medical Management Group Ltd | General Practice | 1901 W Irving Blvd, Irving, TX 75061-6826 | 2006-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
| Find all providers in zip 75061 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942661277 | Mississippi Neurodiagnostics, LLC | Clinic/Center | 4600 Fuller Dr Ste 275, Irving, TX 75038-6551 | 2016-03-15 |
| 1912318445 | Alliance Neurodiagnostics, LLC | Clinic/Center | 4545 Fuller Dr Ste 200, Irving, TX 75038 | 2014-05-19 |
| 1649612110 | Charles D. Demarque, Md, Pa | Clinic/Center | 4020 N Macarthur Blvd, Suite 122-286, Irving, TX 75038-6419 | 2013-07-24 |
| 1801104377 | Medical Housecalls of Dallas, LLC | Clinic/Center | 687 E Royal Ln, 2109, Irving, TX 75039-3630 | 2010-09-18 |
| 1619205978 | O. A. Thompson, D.d.s. Inc | Clinic/Center | 308 N. O'connor Rd, Irving, TX 75061-7524 | 2009-11-25 |
| 1003144387 | Sunil Mathews, Md Pa | Clinic/Center | 7701 Las Colinas Rdg Ste 260, Irving, TX 75063-7554 | 2009-11-25 |
| 1477792117 | Sheryl Tollenaar, Dc, Pa | Clinic/Center | 2121 W Airport Fwy Ste 480, Irving, TX 75062-6029 | 2009-02-19 |
| 1104074657 | Clinica De Las Varices Y Laser Inc. | Clinic/Center | 613 N O Connor Rd, Suite 27, Irving, TX 75061-7529 | 2008-09-08 |
| 1255511481 | Chartone, Inc | Clinic/Center | 545 E John Carpenter Fwy, Suite 700, Irving, TX 75062-3931 | 2007-11-05 |
| 1346369865 | Rodriguez Ogle, LLC | Clinic/Center | 508 S Macarthur Blvd, Irving, TX 75060-2729 | 2007-03-28 |
| Find all providers in IRVING | ||||
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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.