Clinica Medica de Dallas, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLINICA MEDICA DE DALLAS, P.A.

Practice address

4811A Columbia Ave
Dallas, TX 75226-1034

Phone

(214) 823-5590

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Benigno Buentipo Jr., M.D.

Title

Vice President

Phone

(214) 823-5590

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Cora L Alexander, M.D.

  • General Practice Physician
  • Seagoville, TX
  • NPI 1639283427

  Family Medicine

  NPD (past)
• Gustavo Marin, M.D.

  • Family Medicine Physician
  • Plano, TX
  • NPI 1396706628
  NPD (past)
• Yiqun Wu, MD

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1417920281
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1295895290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811A COLUMBIA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261034",
            "telephone_number": "214-823-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811A COLUMBIA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261034",
            "telephone_number": "214-823-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA DE DALLAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "BUENTIPO",
        "authorized_official_first_name": "BENIGNO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "214-823-5590",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinica Guadalupe Walnut Hill LLC
• Clinica HF Buckner LLC
• Clinica HF Coit LLC
• Clinica HF Oak Cliff LLC
• Clinica Hispana Eben-Ezer LLC
• Clinica Medica de Dallas, P.a.
• Clinical Neurological Associates of Dallas, LLP
• Clinical Oncology & Hematology, LLP
• Clinical Oncology and Hematology
• Clinical Oncology and Hematology

• 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 Apr 14, 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.