Organization Active NPI

Healing Place Community Clinic

  • Geriatric Medicine (Family Medicine) Physician
  • Duncanville, TX
National Provider Identifier
1396245361
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
HEALING PLACE COMMUNITY CLINIC
Practice address
210 S Main St
Duncanville, TX 75116-4763
Phone
(972) 200-4565
Fax
(650) 560-1815
NPI assigned
Feb 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Mrs. Phyllis D Laws
Title
Adminstrator
Phone
(817) 791-1320

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

210 S Main St
Duncanville, TX 75116-4763

Mailing address

210 S Main St
Duncanville, TX 75116-4763
Phone (972) 200-4565

National Provider Directory

National Provider Directory

Locations

210 S Main St
Duncanville, TX 75116
Phone (972) 200-4565

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1396245361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164763",
            "telephone_number": "972-200-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164763",
            "telephone_number": "972-200-4565",
            "fax_number": "650-560-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PLACE COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "LAWS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "817-791-1320",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.