institution
Malcolm X Pediatric Clinic
Primary Care Clinic/Center in Dallas, Texas
NPI 1982904165

Malcolm X Pediatric Clinic is a Primary Care Clinic/Center based in Dallas, TX and is specialized in Primary Care. Malcolm X Pediatric Clinic practices in Dallas, TX. The NPI Number for Malcolm X Pediatric Clinic is 1982904165 and holds a License No. 2-45458 (Texas).

The current practice location address for Malcolm X Pediatric Clinic is 4432 Malcolm X Blvd., Dallas, TX and can be reached out via phone at 214-428-2010 and via fax at 214-428-2065.

Location: 4432 Malcolm X Blvd., Dallas, TX, 75215
institution
Provider Profile Details
NPI Number
1982904165
Provider Name
Malcolm X Pediatric Clinic
Credential
Provider Entity Type
Organization
Address
4432 Malcolm X Blvd., Dallas, TX, 75215
Phone Number
214-428-2010
Fax Number
214-428-2065
Provider Enumeration Date
10/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121321704 05 TX
121321702 05 TX
1213217-02 05 TX
institution
Provider Business Practice Location Address Details
Address
4432 Malcolm X Blvd.
City
State
Zip
75215
Phone Number
214-428-2010
Fax Number
214-428-2065
person
Provider Business Mailing Address Details
Address
4432 Malcolm X Blvd.
City
State
Zip
75215
Phone Number
214-428-2010
Fax Number
214-428-2065
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
2-45458 (Texas)
Definition
Definition to come...
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