NPIMap

Organization Active NPI

Img Medical Group TX, P.a.

  • Sports Medicine (Family Medicine) Physician
  • Dallas, TX
National Provider Identifier
1619659760
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
IMG MEDICAL GROUP TX, P.A.
Practice address
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Phone
(888) 760-4266
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Abisai Sanchez Rodriguez
Title
Clinical Operations Manager
Phone
(561) 260-9970

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923

Mailing address

407 Lincoln Rd Ste 6H
Miami Beach, FL 33139-3023
Phone (888) 760-4266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240131001670 TX Part B Supplier - Clinic/Group Practice 5799138210 Receives reassigned benefits from 8 practitioners
Practice locations: Dallas, TX; Houston, TX; Port Arthur, TX; Rockport, TX; Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

201 Broad St
Ste 420
Stamford, CT 06901
Phone (201) 357-0626

407 Lincoln Rd
Ste 7261
Miami Beach, FL 33139

8555 Memorial Blvd
Ste 100
Port Arthur, TX 77640
Phone (409) 237-6480

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1619659760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LINCOLN RD STE 6H",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393023",
            "telephone_number": "888-760-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N SAINT PAUL ST STE 3100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013923",
            "telephone_number": "888-760-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMG MEDICAL GROUP TX, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ RODRIGUEZ",
        "authorized_official_first_name": "ABISAI",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "561-260-9970"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.