Organization · Type 2 NPI

Martin Luther King, Jr. Family Clinic

Federally Qualified Health Center (FQHC) · Balch Springs, TX

NPI number 1407274855 Active

Practice location

3515 Shepherd Ln
Balch Springs, TX 75180-2325

Call (972) 588-4532 Map

Fax (214) 888-3149

Mailing address

PO Box 150128
Dallas, TX 75315-0128

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

4 other providers at this address

Michael D. Fulton, D.o., P.a.Family Medicine Physician Balch Springs, TX NPI 1487962312
Anita Irin DsouzaFamily Nurse Practitioner Balch Springs, TX NPI 1558860528
Briana Echols, PA-CPhysician Assistant Balch Springs, TX NPI 1407440977
Dorothy Chestine Marshall, MD, M.P.HFamily Medicine Physician Balch Springs, TX NPI 1023471927

NPI record

NPI: 1407274855
Entity type: Organization (Type 2)
Issued: Apr 2, 2014
Last updated: Apr 2, 2014
Status: Active
Subpart: Yes of Martin Luther Kinfg, Jr. Family Clinic

Other names

<unavail>
Foremost Family Health Centers · doing business as

Authorized official

Mrs. Joyce E Tapley
CEO
(214) 426-3645

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407274855

Martin Luther King, Jr. Family Clinic's National Provider Identifier is 1407274855, issued on Apr 2, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Balch Springs, TX. The record was last updated on Apr 2, 2014.