Dallas Institute of Advanced Medicine Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

J1085 Issued in TX

Legal business name

DALLAS INSTITUTE OF ADVANCED MEDICINE INC.

Practice address

2909 S Hampton Rd
Suite F- 122, Lock Box 29
Dallas, TX 75224-3000

Phone

(214) 339-9350

Fax

(214) 331-9164

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Escobar-Vazquez, M.D.

Title

President

Phone

(214) 339-9350

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1417128505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DALLAS INSTITUTE OF ADVANCED MEDICINE INC6",
            "address_2": "P.O. BOX 9236",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752099236",
            "telephone_number": "214-339-9350",
            "fax_number": "214-331-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 S HAMPTON RD",
            "address_2": "SUITE F- 122, LOCK BOX 29",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752243000",
            "telephone_number": "214-339-9350",
            "fax_number": "214-331-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS INSTITUTE OF ADVANCED MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR-VAZQUEZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-339-9350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "TX",
            "license": "J1085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Community Health Clinic/Center in Texas

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