Organization Active NPI

Frontier Direct Care - Dallas

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1750199006
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FRONTIER DIRECT CARE - DALLAS
Practice address
8240 Moberly LN
Dallas, TX 75227-2043
Phone
(945) 212-2370
Fax
(945) 202-3743
NPI assigned
Dec 19, 2024
Organization subpart
Yes
Parent organization
FRONTIER DIRECT CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Vanessa Ramirez
Title
Head of Operations
Phone
(325) 212-4207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8240 Moberly LN
Dallas, TX 75227-2043

Mailing address

119 W Van Buren Ave Ste 10
Harlingen, TX 78550-6414
Phone (945) 212-2370

Other names 1

  • Frontier Health Other name

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
45D2316526Frontier Direct Care - Dallas8240 Moberly LN, Dallas, TX 75227Certificate of waiverJan 6, 2027

National Provider Directory

National Provider Directory
Part of
Frontier Direct

Locations

8240 Moberly Ln
Dallas, TX 75227
Phone (945) 212-2370

119 W Van Buren Ave
Ste 10
Harlingen, TX 78550

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1750199006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W VAN BUREN AVE STE 10",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785506414",
            "telephone_number": "945-212-2370",
            "fax_number": "945-202-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 MOBERLY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752272043",
            "telephone_number": "945-212-2370",
            "fax_number": "945-202-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER DIRECT CARE - DALLAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRONTIER DIRECT CARE",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "HEAD OF OPERATIONS",
        "authorized_official_telephone_number": "325-212-4207"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.