EXCEL FAMILY MEDICINE & PEDIATRICS CLINIC, INC
NPI 1336485838
Family Medicine in Desoto, TX

Active since January 02, 2013
2707 BOLTON BOONE DR., SUITE 100, DESOTO, TX 75115(469) 206-2630(214) 730-4281 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Excel Family Medicine & Pediatrics Clinic, Inc NPPES

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

EXCEL FAMILY MEDICINE & PEDIATRICS CLINIC, INC (NPI 1336485838) is a healthcare organization registered as a family medicine in Desoto, Texas and active in the NPI registry since January 2013. The organization lists Dennis O Ochei, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336485838
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEXCEL FAMILY MEDICINE & PEDIATRICS CLINIC, INC
Location Address2707 BOLTON BOONE DR., SUITE 100Desoto, TX 75115-2019
Mailing Address2707 Bolton Boone Dr., Suite 100Desoto, TX 75115-2019 · (469) 206-2630 · Fax (214) 730-4281
Fax(214) 730-4281
Organization SubpartNo
Authorized OfficialDennis O OcheiExecutive Director · (469) 206-2630
Enumeration DateJanuary 2, 2013
Last NPPES UpdateNovember 3, 2016
NPI 1336485838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · K8394
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.

2707 BOLTON BOONE DR., Desoto, TX 75115

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D1020400
Facility Type
Physician Office
Certificate Effective Date
May 11, 2024
Certificate Expiration Date
May 10, 2026
Laboratory Director
DENNIS O. OCHEI
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Excel Family Medicine & Pediatrics Clinic, Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336485838, enumerated as an "organization" on January 02, 2013.

The provider is located at 2707 BOLTON BOONE DR. SUITE 100 DESOTO, TX 75115 and the phone number is (469) 206-2630.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: WellPoint. Please consult your insurance carrier or call the provider to verify.