Mercy Family Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M9136 Issued in TX

Legal business name

MERCY FAMILY CLINIC

Practice address

2409 Alco Ave
Dallas, TX 75211-2614

Phone

(214) 942-2377

Fax

(214) 942-2977

NPI assigned

Feb 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ebere Israel Azubuike, MDNPI 1275738874

Title

President/ Ceo

Phone

(214) 942-2377

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EBERE ISRAEL AZUBUIKE MD PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Ebere I Azubuike, MD

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1275738874
  Medicare reassignment NPD Authorized official
• Nadia N Douglas, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1679973077
  Medicare reassignment NPD
• Jeffrey Brent Robertson, MD

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1841386570
  NPD (past)

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1154560027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 ALCO AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752112614",
            "telephone_number": "214-942-2377",
            "fax_number": "214-942-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 ALCO AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752112614",
            "telephone_number": "214-942-2377",
            "fax_number": "214-942-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "AZUBUIKE",
        "authorized_official_first_name": "EBERE",
        "authorized_official_middle_name": "ISRAEL",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "214-942-2377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "0069SD",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "M9136",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EBERE ISRAEL AZUBUIKE MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sabrina Hasan Merchant, CRNA
• Zahid Merchant, MD
• Christopher Merchun, M.D.
• David Mercier, M.D.
• Mercy Ambulatory Surgery Center of Dallas
• Mercy Home Health Care Inc
• Mercy Housecall Physicians Group, LLC
• Mercy Springs Home Health
• Mercygrace Healthcare, Inc.
• Katie Lee Merecka, CRNA

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, 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 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.