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DAVOODI FAMILY MEDICINE PA
NPI 1174891899
Clinic/Center - Primary Care in Flower Mound, TX

Active since December 08, 2011CLIA 45D1098590 · Waiver
3051 CHURCHILL DR, SUITE # 100, FLOWER MOUND, TX 75022(972) 410-3682(972) 410-3683 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Davoodi Family Medicine Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVOODI FAMILY MEDICINE PA (NPI 1174891899) is a healthcare organization registered as a primary care in Flower Mound, Texas and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Fariborz Alan Davoodi, Physician, as its authorized official.

NPPES Registry Identity

NPI1174891899
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDAVOODI FAMILY MEDICINE PA
Location Address3051 CHURCHILL DR, SUITE # 100Flower Mound, TX 75022-2713
Mailing Address3051 Churchill Dr, Suite # 100Flower Mound, TX 75022-2713 · (972) 410-3682 · Fax (972) 410-3683
Phone(972) 410-3682
Fax(972) 410-3683
Organization SubpartNo
Authorized OfficialFariborz Alan DavoodiPhysician · (972) 410-3682
Enumeration DateDecember 8, 2011
Last NPPES UpdateJanuary 25, 2012
✔ NPI 1174891899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TX · H2930
Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X · License H2930 (TX)
3051 CHURCHILL DR, Flower Mound, TX 75022
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1098590

Davoodi Family Medicine · Flower Mound, TX
Active · expires Apr 22, 2027
CLIA Number45D1098590
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorFariborz Davoodi, MD
Laboratory Phone(972) 410-3682
Laboratory LocationDavoodi Family Medicine3051 Churchill Drive, Suite 100, Flower Mound, TX 75022
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELICA YBANEZ BENNETT PA
Physician Assistant
3051 CHURCHILL DR, SUITE 130
FLOWER MOUND, TX 75022
Denton County (972) 539-0086
DR. SYLVIE HELENE PAROSKI M.D.
Obstetrics & Gynecology
3051 CHURCHILL DR, SUITE 220
FLOWER MOUND, TX 75022
Denton County (972) 355-9436
MARY BRANDT HUDELSON M.D.
Allergy & Immunology
3051 CHURCHILL DR, STE 130
FLOWER MOUND, TX 75022
Denton County (972) 539-0086
SYLVIE H PAROSKI MD PA
Obstetrics & Gynecology
3051 CHURCHILL DR, SUITE 220
FLOWER MOUND, TX 75022
Denton County (972) 355-9436
CAREY SHORE RD-LD
Dietitian, Registered
3051 CHURCHILL DR, SUITE 130
FLOWER MOUND, TX 75022
Denton County (972) 539-0086
WWFM PLLC
Obstetrics & Gynecology
3051 CHURCHILL DR, SUITE 220
FLOWER MOUND, TX 75022
Denton County (972) 355-9436

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davoodi Family Medicine PA's NPI number?

The NPI number for Davoodi Family Medicine PA is 1174891899. It was assigned to this organization in the NPPES registry on December 8, 2011.

Where is Davoodi Family Medicine PA located?

Davoodi Family Medicine PA is located at 3051 Churchill Dr Suite # 100, Flower Mound, TX 75022. The listed phone number is (972) 410-3682.

What is Davoodi Family Medicine PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Davoodi Family Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1098590) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Davoodi Family Medicine PA was last updated on January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.