NPIMap

Organization Active NPI

Unihealth Medical Clinic, LLC

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1588996375
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0618 Issued in TX
Legal business name
UNIHEALTH MEDICAL CLINIC, LLC
Practice address
630 N Bishop Ave
Dallas, TX 75208-4620
Phone
(214) 946-3777
NPI assigned
Feb 4, 2010
Last updated
Aug 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Dameon Tryon
Title
Corp Member
Phone
(241) 946-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0618 TX Primary

Addresses

Primary practice location

630 N Bishop Ave
Dallas, TX 75208-4620

Mailing address

630 N Bishop Ave
Dallas, TX 75208-4335
Phone (214) 946-3777

National Provider Directory

National Provider Directory
Tax ID family
Unihealth Medical Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1588996375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N BISHOP AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084335",
            "telephone_number": "214-946-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N BISHOP AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084620",
            "telephone_number": "214-946-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIHEALTH MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "TRYON",
        "authorized_official_first_name": "DAMEON",
        "authorized_official_title_or_position": "CORP MEMBER",
        "authorized_official_telephone_number": "241-946-3777"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.