Clinica Integral Familia Sana LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLINICA INTEGRAL FAMILIA SANA LLC

Practice address

2950 W Camp Wisdom Rd Ste 100
Grand Prairie, TX 75052-4461

Phone

(214) 235-0114

Fax

(214) 677-0043

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Sandra SaballetNPI 1437862000

Title

Manager

Phone

(786) 327-8992

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Saballet

  • Multi-Specialty Clinic/Center
  • Grand Prairie, TX
  • NPI 1437862000
  NPD Authorized official

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1134833650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 W CAMP WISDOM RD STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524461",
            "telephone_number": "214-235-0114",
            "fax_number": "214-677-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 W CAMP WISDOM RD STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524461",
            "telephone_number": "214-235-0114",
            "fax_number": "214-677-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA INTEGRAL FAMILIA SANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "SABALLET",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-327-8992"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTIONER",
            "identifier": "1043780513",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Health",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Practice Fusion",
            "address_1": "2950 W Camp Wisdom Rd Ste 100",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750524461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Evelyn Cobbina

• Family Medicine Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.