MODERN MALE T-CLINIC, P.A. (NPI# 1518389022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518389022 |
| Entity Type | Organization |
| Organization Name | MODERN MALE T-CLINIC, P.A. |
| Practice Address |
15340 Dallas Pkwy Ste2400 Dallas TX 75248-4636 |
| Practice Telephone | 8002465698 |
| Mailing Telephone | 8002465698 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |
| Authorized Official Name | SALVATORE CAMPO (OWNER) |
| Authorized Official Telephone | 8002465698 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
15340 DALLAS PKWY STE2400 |
| City | DALLAS |
| State | TX |
| Zip Code | 75248-4636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154415677 | Brian Lee Hooten | Chiropractor | 15340 Dallas Pkwy, #2740, Dallas, TX 75248-4636 | 2006-10-02 |
| 1821548660 | Ernie Richard James | Nurse Practitioner | 15340 Dallas Pkwy, Ste 2400, Dallas, TX 75248-6459 | 2016-10-05 |
| 1154875532 | Travis Fahey | Chiropractor | 15340 Dallas Pkwy, Ste 2740, Dallas, TX 75248-4664 | 2016-08-15 |
| 1992077853 | Dr Brian Hooten Dc Pa | Chiropractor | 15340 Dallas Pkwy, #2740, Dallas, TX 75248-4636 | 2012-02-07 |
| 1598984684 | Dr Brian Hooten Dc Pa | Chiropractor | 15340 Dallas Pkwy, #2740, Dallas, TX 75248-4636 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093336398 | Rachel Carrithers | Registered Nurse | 7611 El Pendsador, Dallas, TX 75248 | 2020-04-28 |
| 1538621024 | Syreeta Williams | Specialist | 16690 Dallas Parkway, Suite 208, Dallas, TX 75248 | 2019-04-03 |
| 1225505928 | Bent Tree Counseling, Pllc | Marriage & Family Therapist | 16800 North Dallas Parkway, Suite 100, Dallas, TX 75248 | 2018-10-31 |
| 1649764598 | Annie Girson | Dentist | 16000 Preston Rd. Suite 310, Dallas, TX 75248 | 2018-06-14 |
| 1821503772 | Affordable Dentist Near Me Dallas Pllc. | Dentist | 14902 Preston Road. Suite 201, Dallas, TX 75248 | 2017-12-13 |
| 1477077717 | Children's Dental At Preston Trail, PC | Dentist | 17194 Preson Road, Dallas, TX 75248 | 2017-07-28 |
| 1871023481 | Caroline Ford | Psychologist | 16150 Preston Road, Dallas, TX 75248 | 2017-06-15 |
| 1679940902 | North Texas Cin, Inc. | Clinic/Center | 15770 North Dallas Parkway, Suite 900, Dallas, TX 75248 | 2015-08-21 |
| 1508246240 | Arzu Shams | Counselor | 17103 Preston Rd Ste 230, Dallas, TX 75248 | 2015-06-08 |
| 1992182174 | Texas Dentistry for Kids Richardson, Pllc | Dentist | 7989 Beltline Rd Ste# 107, Dallas, TX 75248 | 2015-04-27 |
| Find all providers in zip 75248 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577392 | Best Americare Visiting Doctors, Inc. | General Practice | 13601 Preston Rd Ste 706w, Dallas, TX 75240-5361 | 2020-10-30 |
| 1659978401 | Instaclinic, LLC | General Practice | 7008 Quartermile Ln, Dallas, TX 75248-1448 | 2020-10-05 |
| 1194345959 | Medplus Physician Group Inc. | General Practice | 8585 N Stemmons Fwy Ste S-105, Dallas, TX 75247-3836 | 2020-04-22 |
| 1598397937 | Jennifer Renee Palomares | General Practice | 12221 Merit Dr Ste 350, Dallas, TX 75251-3233 | 2020-02-04 |
| 1902449333 | Strategic Binary Solutions LLC | General Practice | 13030 Audelia Rd, 2190, Dallas, TX 75243-2471 | 2019-10-17 |
| 1922542075 | Liferestore Md Usa LLC | General Practice | 3910 Gaston Ave Ste 140, Dallas, TX 75246-1523 | 2016-12-08 |
| 1275996860 | Doorstep Procare Management LLC | General Practice | 12035 Shiloh Rd Ste 310, Dallas, TX 75228-1507 | 2016-03-31 |
| 1023490661 | Adjust Physical Medicine Pllc | General Practice | 13450 Inwood Rd Ste 100, Dallas, TX 75244-5324 | 2015-06-19 |
| 1679983480 | Nathaniel Ott | General Practice | 810 Turner Ave, Dallas, TX 75208-3737 | 2014-05-01 |
| 1720427057 | Merritt Bonar Teddlie | General Practice | 7830 Meadow Park Dr, 108, Dallas, TX 75230-4942 | 2013-06-20 |
| Find all providers in DALLAS | ||||
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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.