BOSTON MEDICAL GROUP - TEXAS, P.A. (NPI# 1750708061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750708061 |
| Entity Type | Organization |
| Organization Name | BOSTON MEDICAL GROUP - TEXAS, P.A. |
| Other Organization Name | BOSTON MEDICAL GROUP TEXAS PA |
| Practice Address |
12801 N Central Expy Ste 1107 Dallas TX 75243-1893 |
| Practice Telephone | 4693740439 |
| Practice Fax Number | 4693740629 |
| Mailing Telephone | 4693740439 |
| Mailing Fax Number | 4693740629 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2020-01-31 |
| Authorized Official Name | JOAN SIMPSON (DIRECTOR) |
| Authorized Official Telephone | 6155624048 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Boston Medical Group Texas PA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922425230 | Boston Medical Group - Texas, P.a. | Urology | 1776 Yorktown St Ste 110, Houston, TX 77056-4138 | 2014-03-25 |
| Street Address |
12801 N CENTRAL EXPY STE 1107 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-1893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033553409 | Andrew Yang Sun | Urology | 1411 N Beckley Ave Ste 464, Dallas, TX 75203-1268 | 2013-04-29 |
| 1518229046 | Dayron Rodriguez | Urology | Ut Southwestern Department of Urology, 5323 Harry Hines Blvd. Ja5.120, Dallas, TX 75235 | 2012-06-11 |
| 1679830442 | Brett Allen Johnson | Urology | 2001 Inwood Dr Urology - Ut Southwestern Medical Center, Dallas, TX 75390-0001 | 2012-04-18 |
| 1588930200 | Ted Daniel Klein | Urology | 7777 Forest Ln Ste C618, Dallas, TX 75230-6855 | 2012-03-27 |
| 1023309986 | Tolulope Bakare | Urology | 2001 Inwood Rd Bldg 3, Dallas, TX 75390-7202 | 2011-04-27 |
| 1457599334 | The Urology Institute Frsico | Urology | 9 Medical Pkwy Ste 307, Dallas, TX 75234-7855 | 2009-01-30 |
| 1972756815 | Arthur Walter Shannon | Urology | 3851 Potomac, Dallas, TX 75205 | 2008-10-23 |
| 1265612493 | Allen Plotkin | Urology | 8 Crownwood Ct, Dallas, TX 75225-2068 | 2007-11-05 |
| 1720157365 | Craig Andrew Peters | Urology | 2350 N. Stemmons Freeway, Suite F4300, Dallas, TX 75207 | 2006-11-07 |
| 1073559886 | Lisa Kay Zambrano | Urology | 10501 N. Central Expwy, Suite 200, Dallas, TX 75231-2200 | 2006-06-21 |
| 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.