Ebie Community Medical PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EBIE COMMUNITY MEDICAL PLLC

Practice address

1670 N Hampton Rd
Suite 103
Desoto, TX 75115-8302

Phone

(972) 224-3434

Fax

(972) 224-3442

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Velesa Priscilla Jones

Title

Administrator

Phone

(972) 224-3434

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194858977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 N HAMPTON RD",
            "address_2": "SUITE 103",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158302",
            "telephone_number": "972-224-3434",
            "fax_number": "972-224-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 N HAMPTON RD",
            "address_2": "SUITE 103",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158302",
            "telephone_number": "972-224-3434",
            "fax_number": "972-224-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBIE COMMUNITY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VELESA",
        "authorized_official_middle_name": "PRISCILLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-224-3434"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacques Dureus
• Kate Durugbor
• Michelle L Dyer, LPC
• Ashley Easaw, DNP, RN
• Ebai Healthcare Services
• Ebie Community Medical,PLLC
• Maryjoy Ebirim
• Ecko Medical LLC
• Edid Ramos, MD, PA
• Gabrielle Elvessie Edwards

• Clinic/Center in Desoto, TX
• Providers in Desoto, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.