BAYLOR FAMILY MEDICINE CLINIC (NPI# 1427311042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427311042 |
| Entity Type | Organization |
| Organization Name | BAYLOR FAMILY MEDICINE CLINIC |
| Practice Address |
601 Clara Barton 340 Garland TX 75042 |
| Mailing Address |
601 Clara Barton Blvd # 340 Garland TX 75042-5738 |
| Practice Telephone | 9722726554 |
| Practice Fax Number | 9722725969 |
| Mailing Telephone | 9722726554 |
| Mailing Fax Number | 9722725969 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |
| Authorized Official Name | DR. LESLIE TINGLE (DIRECTOR) |
| Authorized Official Telephone | 9722726554 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH TEXAS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 33763 | TX | Other Service Providers |
| Street Address |
601 CLARA BARTON 340 |
| City | GARLAND |
| State | TX |
| Zip Code | 75042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699259697 | Abiodun Gloria Irabor-musa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3106 Centennial Dr, Garland, TX 75042 | 2018-09-17 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1043662034 | Alicia Valdiviezo | Physician Assistant | 2046 Forest Ln Ste 130, Garland, TX 75042 | 2016-07-01 |
| 1053711184 | Jamette Hickman | Physical Therapist | 705 Walter Reed Blvd Suite 100, Garland, TX 75042 | 2014-08-26 |
| 1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
| 1821424094 | Angel Care Team | Adult Companion | 1801 Evelyn Dr., Garland, TX 75042 | 2013-09-19 |
| 1003176959 | Benedict Eric Homer | Dentist | 813 North Jupiter Rd., Garland, TX 75042 | 2012-05-25 |
| 1518254929 | Rama Sulochana Narla | Emergency Medicine | 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 | 2011-07-06 |
| 1093002917 | Mecca Group | Community/Behavioral Health | 1213 Patricia Ln, Garland, TX 75042 | 2011-06-29 |
| 1134410517 | Alexander Dela Cruz Lao | Physical Therapist | 705 Walter Reed Blvd., Suite 100, Garland, TX 75042 | 2011-04-20 |
| Find all providers in zip 75042 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952831653 | Achievement Center of Texas | Case Manager/Care Coordinator | 2950 N Shiloh Rd, Garland, TX 75044-7026 | 2017-06-14 |
| 1619248119 | Jose Alberto Velasquez | Case Manager/Care Coordinator | 6517 Fallbrook Dr, Garland, TX 75043-5924 | 2012-01-16 |
| 1942516117 | Jessie Faye Hinton-omere | Case Manager/Care Coordinator | 1101 Wendell Way, Garland, TX 75043-1722 | 2010-08-26 |
| 1033373402 | Peace U Ehigitor | Case Manager/Care Coordinator | 262 E Oates Rd, #102, Garland, TX 75043-3487 | 2008-07-15 |
| 1689858649 | Albert Oguntula | Case Manager/Care Coordinator | 1413 Quail Crest Dr, Garland, TX 75040-8239 | 2007-12-26 |
| 1225217342 | Mary Larson | Case Manager/Care Coordinator | 600 Colonel Dr, Garland, TX 75043-2302 | 2007-10-25 |
| 1568685618 | Audria Mitchell-powell | Case Manager/Care Coordinator | 2826 Branch Oaks Dr, Garland, TX 75043-6011 | 2007-04-10 |
| 1043737489 | Tiffany Armstrong | Case Manager/Care Coordinator | 346 Oaks Trl Ste 116, Garland, TX 75043-4095 | 2017-08-26 |
| 1174861538 | Adriana Elizabeth Martinez | Case Manager/Care Coordinator | 2914 Prescott Dr, Garland, TX 75041-3312 | 2013-01-19 |
| 1619276748 | Beth Brown | Case Manager/Care Coordinator | 601 Clara Barton Blvd, Suite #340, Garland, TX 75042-5738 | 2011-03-15 |
| Find all providers in GARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.