Preventive Medicine Clinic of Dallas

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PREVENTIVE MEDICINE CLINIC OF DALLAS

Practice address

2445 W Northwest Hwy Ste 105
Dallas, TX 75220-4448

Phone

(214) 352-9600

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Heriberto Salinas, MD

Title

Owner

Phone

(214) 352-9600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1508085143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 W NORTHWEST HWY STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204448",
            "telephone_number": "214-352-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 W NORTHWEST HWY STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204448",
            "telephone_number": "214-352-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE MEDICINE CLINIC OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "SALINAS",
        "authorized_official_first_name": "HERIBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-352-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098964201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.