Multi Specialty Clinic of Texas PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AP-133700 Issued in TX

Legal business name

MULTI SPECIALTY CLINIC OF TEXAS PLLC

Practice address

3453 Saint Francis Ave
125
Dallas, TX 75228-7199

Phone

(469) 779-0884

Fax

(469) 779-0920

NPI assigned

Feb 22, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Aleyamma Mathew, NP

Title

FNP

Phone

(469) 779-0884

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1962903252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 SAINT FRANCIS AVE",
            "address_2": "125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287199",
            "telephone_number": "469-779-0884",
            "fax_number": "469-779-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 SAINT FRANCIS AVE",
            "address_2": "125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287199",
            "telephone_number": "469-779-0884",
            "fax_number": "469-779-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI SPECIALTY CLINIC OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "ALEYAMMA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "469-779-0884",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP-133700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760911572",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Mulloy, MD
• Danny Lee Mulnix, LPC ASSOCIATE
• Neha Vardhani Mulpuri, MD
• Nathan Raphael Mulroy, MD
• Multi Medical Specialty PLLC
• Multi-Choice Home Health Services Incorporated
• Multicultural Center
• Multigroup Physician Practice of Texas
• Elleni Mulugeta
• Isabelle Bujibungi Mulumba

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, 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 Feb 22, 2018; 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.