BAYLOR COMMUNITY CARE- CITYSQUARE (NPI# 1669719282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669719282 |
| Entity Type | Organization |
| Organization Name | BAYLOR COMMUNITY CARE- CITYSQUARE |
| Practice Address |
2835 Grand Ave Dallas TX 75215-1647 |
| Practice Telephone | 2144211783 |
| Practice Fax Number | 2144218224 |
| Mailing Telephone | 2144211783 |
| Mailing Fax Number | 2144218224 |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |
| Authorized Official Name | LEIGH ALLEN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 2144211783 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
07675 | TX | Ambulatory Health Care Facilities |
| Street Address |
2835 GRAND AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75215-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316968225 | Kellie L Kahveci | Nurse Practitioner | 2835 Grand Ave, Dallas, TX 75215-1647 | 2006-07-23 |
| 1215152525 | Shanna S Garza | Family Medicine | 2835 Grand Ave, Dallas, TX 75215-1647 | 2007-04-13 |
| 1659595403 | Jacqueline Da Silva Stephen | Family Medicine | 2835 Grand Ave, Dallas, TX 75215-1647 | 2007-04-12 |
| 1144308529 | Cynthia Ann Graul | Nurse Practitioner | 2835 Grand Ave, Dallas, TX 75215-1647 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245201 | Ursula Liliana Barrreto | Behavior Technician | 1999 Scott St, Suite 900, Dallas, TX 75215 | 2020-04-29 |
| 1811546278 | Nereca Carol Jones | Technician | 5011 Colonial Avenue, Dallas, TX 75215 | 2019-09-09 |
| 1356826838 | Sa Foundation for Humanity Inc | Dentist | 1100 S. Arkard Street, Suite 180, Dallas, TX 75215 | 2018-10-01 |
| 1043710049 | Lawanda Shed | Registered Nurse | 2622 Hatcher St, Dallas, TX 75215 | 2018-02-15 |
| 1598205973 | Royond Patrick-hendrix | Psychologist | 1409 S Lamar St Apt 307, Dallas, TX 75215 | 2017-03-03 |
| 1760830566 | Medchiro Injury Rehab LLC | Chiropractor | 1619 Martin Luther King Jr Blvd, Dallas, TX 75215 | 2016-06-02 |
| 1245580315 | Irfan Jadavji | Family Medicine | 2922-b Martin Luther King, Jr. Blvd, Dallas, TX 75215 | 2012-09-14 |
| 1982904165 | Malcolm X Pediatric Clinic | Clinic/Center | 4432 Malcolm X Blvd., Dallas, TX 75215 | 2010-10-22 |
| 1750693669 | Lyric Dion Day | Registered Nurse | 2922 Martin Luther King Jr Blvd #124, Dallas, TX 75215 | 2010-07-08 |
| 1477759272 | Shang's Garden, Inc | Assisted Living Facility | 2617 Birmingham, Dallas, TX 75215 | 2007-06-27 |
| Find all providers in zip 75215 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1285275560 | Heavenly Hands Family Medical Clinic, Pllc | Clinic/Center | 7602 Great Trinity Forest Way, Dallas, TX 75217-6650 | 2019-10-08 |
| 1740831098 | Careatc | Clinic/Center | 1500 Marilla St Rm 1cs, Dallas, TX 75201-6318 | 2019-09-26 |
| 1063077824 | Onepeak Medical Clinic, Inc | Clinic/Center | 1910 Greenville Ave, Dallas, TX 75206-7439 | 2019-05-07 |
| 1972068526 | Inkure U LLC | Clinic/Center | 8204 Elmbrook Dr Ste 202, Dallas, TX 75247-4067 | 2019-02-07 |
| 1548752850 | Susan Bacsik Do Pllc | Clinic/Center | 730 N Bishop Ave, Dallas, TX 75208-4338 | 2018-06-01 |
| 1255820239 | Fitzgerald Family Medicine | Clinic/Center | 289 E Ellendale Ave Ste 602, Dallas, OR 97338-1570 | 2018-05-06 |
| 1447759212 | Quadmed Medical Clinics of Texas, P.a. D/b/a Quadmed Medical Grou | Clinic/Center | 17655 Waterview Parkway, Dallas, TX 75252 | 2018-02-07 |
| 1700328325 | Daniel Health & Wellness, Pllc | Clinic/Center | 17762 Preston Rd Ste 114, Dallas, TX 75252-5730 | 2016-11-14 |
| 1407205222 | Jayshri Health Services | Clinic/Center | 6315 Lindsley Ave, Dallas, TX 75223-1312 | 2016-06-13 |
| 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.