Salvation' International Mission

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

SALVATION' INTERNATIONAL MISSION

Practice address

1341 County Road 557
Farmersville, TX 75442-7081

Phone

(972) 784-5300

NPI assigned

Sep 9, 2019

Organization subpart

No

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

Authorized official

Name

Konstantin Lyubimov

Title

President

Phone

(972) 784-5300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1215586532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 COUNTY ROAD 557",
            "city": "FARMERSVILLE",
            "state": "TX",
            "postal_code": "754427081",
            "telephone_number": "972-784-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 COUNTY ROAD 557",
            "city": "FARMERSVILLE",
            "state": "TX",
            "postal_code": "754427081",
            "telephone_number": "972-784-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATION' INTERNATIONAL MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "LYUBIMOV",
        "authorized_official_first_name": "KONSTANTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-784-5300"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pamela Sardo, PHARM.D., B.S.
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• Addiction Medicine (Family Medicine) Physician in Farmersville, TX
• Providers in Farmersville, TX by specialty
• Addiction Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.