THE AGAPE CLINIC
NPI 1205511334
Family Medicine in Dallas, TX

Q: What is The Agape Clinic's NPI number?

The NPI number for The Agape Clinic is 1205511334. It was assigned to this organization in the NPPES registry on June 16, 2023. The provider is doing business as Agape.

Q: What is The Agape Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for The Agape Clinic was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 16, 2023CLIA 45D2177042 · Waiver

4104 JUNIUS ST, DALLAS, TX 75246(972) 707-7776 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About The Agape Clinic NPPES

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

THE AGAPE CLINIC (NPI 1205511334), doing business as Agape, is a healthcare organization registered as a family medicine in Dallas, Texas and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through January 1, 2028 and lists Amy Dunivan, Director Of Development, as its authorized official.

NPPES Registry Identity

NPI1205511334

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameTHE AGAPE CLINIC

Location Address4104 JUNIUS STDallas, TX 75246-1427

Mailing Address4104 Junius StDallas, TX 75246-1427 · (972) 707-7776

Phone(972) 707-7776

Organization SubpartNo

Authorized OfficialAmy DunivanDirector Of Development · (972) 707-7782

Enumeration DateJune 16, 2023

NPPES CertifiedJune 16, 2023

✔ NPI 1205511334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4104 JUNIUS ST, Dallas, TX 75246

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Other Names 1

Doing Business AsAgape

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 45D2177042

The Agape Clinic · Dallas, TX

Active · expires Jan 1, 2028

CLIA Number45D2177042

Laboratory TypeCommunity Clinic

Certificate Effective DateJanuary 2, 2026

Certificate Expiration DateJanuary 1, 2028

Laboratory DirectorYolanda Escalante

Laboratory Phone(972) 707-7782

Laboratory LocationThe Agape Clinic4104 Junius St, Dallas, TX 75246

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 8

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

DR. ADRIANNE R DUVALL-INGRAM DNP, RN, FNP-BC

Nurse Practitioner (Family)