Clinica Medica Salve PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLINICA MEDICA SALVE PLLC

Practice address

217 W Main St Ste 110
Grand Prairie, TX 75050-5648

Phone

(214) 235-0607

Fax

(972) 329-7005

NPI assigned

Apr 12, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Espiridion Mendez, DO

Title

Director

Phone

(214) 549-2273

Specialties & licenses 1

Addresses

Other names 1

• Clinica Medica Salve PLLC Former legal business name

Tax ID family

Clinica Medica Salve2 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.

• Clinica Medica Salve PLLC

  • Family Medicine Physician
  • Grand Prairie, TX
  • NPI 1982346631
  NPD tax ID

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1790427441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W MAIN ST STE 110",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505648",
            "telephone_number": "214-549-2273",
            "fax_number": "972-329-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W MAIN ST STE 110",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505648",
            "telephone_number": "214-235-0607",
            "fax_number": "972-329-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA SALVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "ESPIRIDION",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-549-2273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica Salve PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinica Medica Salve PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Click Wheelchair Services
• Clinica Integral Familia Sana LLC
• Clinica Medica Salve PLLC
• Clinica Medica Salve, LLC
• CMSP Hospice Care Inc
• Evelyn Cobbina
• Grace Coker-Carter, MD

• Family Medicine Physician in Grand Prairie, TX
• Providers in Grand Prairie, 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 Apr 12, 2022; 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.