MEDICARE: CENTRO DE MI SALUD, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center	TX
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center	TX
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043204019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRO DE MI SALUD, LLC

Provider Business Mailing Address
First Line	:	2701 S HAMPTON RD STE 201
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-2363
Country	:	US
Telephone Number	:	214-941-0798
Fax Number	:	214-941-0408

Provider Business Practice Location Address
First Line	:	2701 S HAMPTON RD STE 201
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-2363
Country	:	US
Telephone Number	:	214-941-0798
Fax Number	:	214-941-0408

Authorized Official
Title or Position	:	CEO
Name	:	NORMA M WESTURN
Credential	:	LPC
Telephone Number	:	214-941-0798

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	07/21/2022

Similar Medicare Providers

1710178017 — IDALUPE WISHON PAC
Practice Location Address:

2701 S HAMPTON RD STE 101
DALLAS, TX
75224-2363

Practice Phone: 214-330-9221
Practice Fax: 214-999-9363

1154379428 — STEPHEN M. HUMPHREY MD
Practice Location Address:

2701 S HAMPTON RD STE 220B
DALLAS, TX
75224-2363

Practice Phone: 866-552-4866
Practice Fax:

1023043924 — DR. ANTOINE ROBERT ALBERT MD
Practice Location Address:

2701 S HAMPTON RD STE 101
DALLAS, TX
75224-2363

Practice Phone: 214-330-9221
Practice Fax: 214-999-9363

1174773873 — BABAFEMI BABAWANDE PRATT MD, MPH
Practice Location Address:

2701 S HAMPTON RD STE 220B
DALLAS, TX
75224-2363

Practice Phone: 866-552-4866
Practice Fax:

1669721973 — MR. STEVE WILLIS TOBIAS PA-C
Practice Location Address:

2701 S HAMPTON RD STE 101
DALLAS, TX
75224-2363

Practice Phone: 214-330-9221
Practice Fax: 214-999-9363

1508101718 — CROSS DIAGNOSTIC IMAGING INC
Practice Location Address:

2701 S HAMPTON RD STE 140
DALLAS, TX
75224-2363

Practice Phone: 214-337-6513
Practice Fax: 214-337-3300

Directions to “CENTRO DE MI SALUD, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.