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1164417085

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
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10003276	OTHER	TX	AMERIGROUP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	G60091-01	OTHER	TX	DELTA DENTAL STATE GOV.PR
5	00P022	OTHER	TX	BLUE CROSS & BLUE SHIELD
6	120977705	OTHER	TX	CSHCN
7	3959	OTHER	TX	PARKLAND COMM.HEALTH PLAN
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	10022414	OTHER	TX	AMERIGROUP
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164417085
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	:	214-651-8739
Fax Number	:	214-379-2281

Provider Business Practice Location Address
First Line	:	809 SINGLETON BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75212-4014
Country	:	US
Telephone Number	:	214-651-8739
Fax Number	:	214-379-2281

Authorized Official
Title or Position	:	CEO
Name	:	MS. LEONOR MARQUEZ
Credential	:
Telephone Number	:	214-651-8732

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	08/12/2025

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

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