Clinica Medica de Dallas, P.a.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

CLINICA MEDICA DE DALLAS, P.A.

Practice address

4811A Columbia Ave
Dallas, TX 75226-1034

Phone

(214) 823-5590

Fax

(214) 823-6638

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Benigno Buentipo Jr., M.D.

Title

Vice-President

Phone

(214) 823-5590

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1861666018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811A COLUMBIA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261034",
            "telephone_number": "214-823-5590",
            "fax_number": "214-823-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811A COLUMBIA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261034",
            "telephone_number": "214-823-5590",
            "fax_number": "214-823-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA DE DALLAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "BUENTIPO",
        "authorized_official_first_name": "BENIGNO",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "214-823-5590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinica HF Buckner LLC
• Clinica HF Coit LLC
• Clinica HF Oak Cliff LLC
• Clinica Hispana Eben-Ezer LLC
• Clinica Medica de Dallas, P.a.
• Clinical Neurological Associates of Dallas, LLP
• Clinical Oncology & Hematology, LLP
• Clinical Oncology and Hematology
• Clinical Oncology and Hematology
• Clinical Radiology & Imaging Associates

• Geriatric Medicine (Family Medicine) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Geriatric Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.