Cim Medical,PLLC

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

CIM MEDICAL,PLLC

Doing business as

Consultants In Metabolism

Practice address

1560 E Southlake Blvd Ste 100
Southlake, TX 76092-6462

Phone

(903) 600-5312

Fax

(817) 259-2613

NPI assigned

May 16, 2023

Last updated

May 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dana G Clark, MDNPI 1720009236

Title

President

Phone

(817) 988-4261

Specialties & licenses 1

Addresses

Other names 1

• Consultants In Metabolism Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dana Gibbs Clark, MD

  • Otolaryngology Physician
  • Arlington, TX
  • NPI 1720009236
  NPD Authorized official

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1871284380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST STE 3874",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "903-600-5312",
            "fax_number": "817-259-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926462",
            "telephone_number": "903-600-5312",
            "fax_number": "817-259-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIM MEDICAL,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-988-4261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consultants In Metabolism",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher a Hughes MD PLLC (DirectMD)
• Chung's Family Healthcare Association
• Marcia A Church, M.A., CCC-SLP
• Adela Patricia Cifuentes, FNP-C
• Traci M Cihon, PHD, BCBA-D
• Citrus-06 PLLC
• City of Southlake Tex (Southlake Dept Of Public Safety)
• Anna L Clark
• Cameron Whitaker Clark, P.A.
• Melissa Clark, PT

• Integrative Medicine Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Integrative Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.