Organization Active NPI

Hebron Family Life Center

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1073767331
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27423 Issued in TX
Legal business name
HEBRON FAMILY LIFE CENTER
Practice address
2335 56TH St
Dallas, TX 75241-1437
Phone
(214) 374-7505
NPI assigned
Nov 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David Robison, B.A.
Title
Program Administrator
Phone
(972) 898-9628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 27423 TX Primary

Addresses

Primary practice location

2335 56TH St
Dallas, TX 75241-1437

Mailing address

2335 56TH St
Dallas, TX 75241-1437
Phone (214) 374-7505

National Provider Directory

National Provider Directory

Locations

2335 56th St
Dallas, TX 75241
Phone (214) 374-7505

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1073767331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 56TH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752411437",
            "telephone_number": "214-374-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 56TH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752411437",
            "telephone_number": "214-374-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBRON FAMILY LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "972-898-9628",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "27423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.