Organization Active NPI

Los Barrios Unidos Community Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
National Provider Identifier
1457802449
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.
Practice address
4732 W Illinois Ave
Dallas, TX 75211-6502
Phone
(214) 540-0300
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Leonor Marquez
Title
Ceo
Phone
(214) 540-0302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

4732 W Illinois Ave
Dallas, TX 75211-6502

Mailing address

809 Singleton Blvd
Dallas, TX 75212-4014
Phone (214) 540-0300

Other names 1

  • LBU Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161219001692 TX Part A Provider - Federally Qualified Health Center (FQHC) 6103801881 Practice locations: Dallas, TX

Federally qualified health center certification: CCN 741941

Legal name
LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.
Doing business as
LBU HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 14, 2016
Last certification
Dec 14, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 28, 1971 in TX
Enrollment address
4732 W Illinois Ave
Dallas, TX 75211-6502

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2120573Lbu Health Center4732 West Illinois Avenue, Dallas, TX 75211Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory
Tax ID family
Los Barrios Unidos Comm3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

809 Singleton Blvd
Dallas, TX 75212
Phone (214) 540-0300

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Barbara S Baxter Individual Corporate DirectorBoard Member Jan 1, 1983
Larry Taylor Individual Corporate DirectorBoard Member Jan 1, 2010
Sharon J Davis Individual Corporate OfficerCmo Mar 1, 2015 100%
W-2 Managing EmployeeCmo Mar 1, 2015 100%
Steve Salazar Individual Corporate DirectorBoard Member Jan 1, 1996
Margaret Hinguanzo Daugherty Individual Corporate DirectorBoard Member Jan 1, 2004
Maria Saavedra Individual Corporate DirectorBoard Member Dec 21, 2015
Sofia Garcia Individual Corporate DirectorBoard Member Jan 1, 2010
Tralan Chace Mathis Individual Corporate DirectorBoard Member Dec 1, 2019
Yesenia Banda Individual Corporate DirectorBoard Member Jan 1, 2019
Magdalena Wolters Individual Corporate DirectorBoard Member Jan 1, 2008
William Plaff Individual Corporate DirectorBoard Member May 1, 2018
Sherlyn V Samuel-Chibuzor Individual Corporate DirectorBoard Member Mar 1, 2022
Vickie Cedillo Individual Corporate DirectorBoard Member Jan 1, 2010
Leonor Marquez Individual Corporate OfficerCeo Oct 4, 2005 100%
W-2 Managing EmployeeCeo Oct 4, 2005 100%
Katherine Elizabeth Sanchez Individual Corporate DirectorBoard Member Jan 1, 2013

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Los Barrios Unidos Community Clinic, Inc.Dallas, TX, CCN 671986 Federally qualified health center Operational/Managerial Control May 1, 2000

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1457802449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 SINGLETON BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752124014",
            "telephone_number": "214-540-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752116502",
            "telephone_number": "214-540-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "LEONOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-540-0302"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LBU Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.