Martin Luther King Jr Family Clinic
LBN: Martin Luther King Jr Family Clinic
Martin Luther King Jr Family Clinic is an health care organization with primary practice located at 2922 Martin Luther King Jr Blvd Building B, Dallas TX 75215-2321. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Martin Luther King Jr Family Clinic can be contacted via phone (214) 426-3645, or through Tapley, Joyce via phone (214) 426-3645.
Contact Information
Primary practice address
2922 Martin Luther King Jr Blvd Building B
Dallas TX 75215-2321
Phone: (214) 426-3645
Fax: (214) 446-2018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1851492557 |
|---|---|
| LBN Legal business name | Martin Luther King Jr Family Clinic |
| DBA Doing business as | |
| Authorized official | Tapley, Joyce CEO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Apr 8th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851492557 | NPPES |
| Texas | MEDICAID | 130713406 | |
| Texas | MEDICAID | 130713412 | |
| Texas | MEDICAID | 183600 | |
| Texas | Other | TXB104577 | |
| Texas | MEDICAID | 130713404 | |
| Texas | MEDICAID | 130713410 | |
| Texas | Other | 183600 | |
| Texas | MEDICAID | 130713409 | |
| Texas | Other | QQ04 | |
| Texas | MEDICAID | 130713408 | |
| Texas | MEDICAID | 1949 |
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