Organization · NPI-2

Clinica Medica Salve, LLC

Family Medicine · Grand Prairie, TX

NPI number1508510140
StatusActive
Last updated in NPPESMar 31, 2022

Details

NPI
1508510140
Entity type
Organization (NPI-2)
Legal business name
Clinica Medica Salve, LLC
Organization subpart
No
Enumeration date
Feb 11, 2022
Certification date
Mar 31, 2022
Last updated
Mar 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
208D00000X General Practice––
363A00000X Physician Assistant––

Other names

  • Clinica Medica Salve PLLC (Former Legal Business Name)

Practice location

217 W Main St. Ste 110
Grand Prairie, TX 75050-5648

Phone 214-235-0607 · Fax 972-329-7005

Mailing address

217 W Main St. Ste 110
Grand Prairie, TX 75050-5648

Phone 214-235-0607 · Fax 972-329-7005

Authorized official

Espiridion Mendez
Dir
2142550607

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