Doctors Reffino Pereyra and Basilico Family Practice, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

K6534 Issued in TX

Legal business name

DOCTORS REFFINO PEREYRA AND BASILICO FAMILY PRACTICE, PA

Practice address

7522 Campbell Road
Suite100
Dallas, TX 75248-1726

Phone

(972) 267-6653

Fax

(972) 248-3604

NPI assigned

Apr 24, 2007

Last updated

Nov 2, 2011By 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

Dr. Leopoldo Mario Basilico, MDNPI 1508836248

Title

President

Phone

(972) 267-6653

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leopoldo Mario Basilico, MD

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1508836248
  Authorized official Same address or phone

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1346468188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 CAMPBELL ROAD",
            "address_2": "SUITE100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481726",
            "telephone_number": "972-267-6653",
            "fax_number": "972-248-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 CAMPBELL ROAD",
            "address_2": "SUITE100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481726",
            "telephone_number": "972-267-6653",
            "fax_number": "972-248-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS REFFINO PEREYRA AND BASILICO FAMILY PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "BASILICO",
        "authorized_official_first_name": "LEOPOLDO",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-267-6653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K6534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092507501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Doctors Interpretive Services
• Doctors on Wheels PLLC
• Jasper Doda, PA-C
• Chelsey Dodd Clark, DC
• Christen Quinters Dodd, PT, DPT, ATP/SMS
• Sriya Dodda
• Sanjay Doddamani, MD

• Primary Care Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.