Organization Active NPI

DFW Family Clinic - Irving Inc

  • Family Medicine Physician
  • Irving, TX
National Provider Identifier
1538737275
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DFW FAMILY CLINIC - IRVING INC
Practice address
3501 N Macarthur Blvd Ste 330
Irving, TX 75062-3611
Phone
(972) 887-3376
NPI assigned
Jun 17, 2021
Last updated
Jun 17, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
DFW FAMILY CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Adila Siddiqi
Title
Owner
Phone
(817) 714-5300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3501 N Macarthur Blvd Ste 330
Irving, TX 75062-3611

Mailing address

3501 N Macarthur Blvd Ste 330
Irving, TX 75062-3611
Phone (972) 887-3376

National Provider Directory

National Provider Directory
Part of
DFW Family Clinic

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1538737275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 330",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623611",
            "telephone_number": "972-887-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 330",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623611",
            "telephone_number": "972-887-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW FAMILY CLINIC - IRVING INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DFW FAMILY CLINIC",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "SIDDIQI",
        "authorized_official_first_name": "ADILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-714-5300"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.