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CLINIC
NPI 1659446409
Clinic/Center in Dallas, TX

Active since November 21, 2006
831 SR L THORNTON FWY, DALLAS, TX 75203(214) 948-7783(214) 948-7793 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Clinic NPPES

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

CLINIC (NPI 1659446409) is a healthcare organization registered as a clinic/center in Dallas, Texas and active in the NPI registry since November 2006. The organization lists Ronald Jeffrey Washington, Owner Administrator, as its authorized official.

NPPES Registry Identity

NPI1659446409
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROVIDENT MEDICAL CENTER
Location Address831 SR L THORNTON FWYDallas, TX 75203-2905
Mailing Address831 Sr L Thornton FwyDallas, TX 75203-2905 · (214) 948-7783 · Fax (214) 948-7793
Phone(214) 948-7783
Fax(214) 948-7793
Organization SubpartNo
Authorized OfficialRonald Jeffrey WashingtonOwner Administrator · (214) 948-7783
Enumeration DateNovember 21, 2006
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
✔ NPI 1659446409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in TX · E1172
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
831 SR L THORNTON FWY, Dallas, TX 75203
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Other Names 1

Doing Business AsClinic

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 Provident Medical Center's NPI number?

The NPI number for Provident Medical Center is 1659446409. It was assigned to this organization in the NPPES registry on November 21, 2006. The provider is doing business as Clinic.

Where is Provident Medical Center located?

Provident Medical Center is located at 831 Sr L Thornton Fwy, Dallas, TX 75203. The listed phone number is (214) 948-7783.

What is Provident Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Provident Medical Center was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.