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NPI Code Detail

MEDICARE: LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.

MEDICARE: LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1104476431
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.
Provider Business Mailing Address
First Line : 809 SINGLETON BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75212-4014
Country : US
Telephone Number : 214-540-0300
Fax Number : 214-540-0308
Provider Business Practice Location Address
First Line : 5787 S HAMPTON RD STE 365
Second Line :
City : DALLAS
State : TX
Zip : 75232-6336
Country : US
Telephone Number : 214-540-0300
Fax Number :
Authorized Official
Title or Position : CEO
Name : LEONOR MARQUEZ
Credential :
Telephone Number : 214-540-0302
Provider Enumeration Date : 09/18/2019
Last Update Date : 04/14/2026

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Directions to “LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC. ” Practice Location

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