Sandra Saballet

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Practice address

2950 W Camp Wisdom Rd
Grand Prairie, TX 75052-4459

Phone

(786) 327-8992

NPI assigned

Dec 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinica Integral Familia Sana LLC

  • Family Medicine Physician
  • Grand Prairie, TX
  • NPI 1134833650
  NPD Authorized official

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1437862000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 W CAMP WISDOM RD STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524461",
            "telephone_number": "786-327-8992",
            "fax_number": "214-677-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 W CAMP WISDOM RD",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524459",
            "telephone_number": "786-327-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABALLET",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1043780513",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RTT Care LLC
• Nelly Ruano Erazo, CFNMP
• Adrian Ruiz
• Ryms Medical Supplies Company
• Hojoong Ryu, DDS
• Blessy Sabu, OD
• Sacred Grounds Living LLC
• Safari Oaks LLC
• Safeway Healthcare Services Inc.
• Erline Saint-Vil, DC

• Multi-Specialty Clinic/Center in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.