CLINICA HISPANA EBEN-EZER LLC
NPI 1932990272
Nurse Practitioner - Family in Dallas, TX

Active since May 15, 2025CLIA 45D2321271 · Waiver
4043 TRINITY MILLS RD STE 103, DALLAS, TX 75287(972) 707-9999 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 10, 2025, May 15, 2025 (2 updates tracked since 2025).

About Clinica Hispana Eben-ezer Llc NPPES

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

CLINICA HISPANA EBEN-EZER LLC (NPI 1932990272) is a healthcare organization registered as a family in Dallas, Texas and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Oscar Pena Hernandez, Owner, as its authorized official.

NPPES Registry Identity

NPI1932990272
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCLINICA HISPANA EBEN-EZER LLC
Location Address4043 TRINITY MILLS RD STE 103Dallas, TX 75287-6757
Mailing Address4043 Trinity Mills Rd Ste 103Dallas, TX 75287-6757 · (972) 707-9999
Organization SubpartNo
Authorized OfficialOscar Pena HernandezOwner · (469) 864-9165
Enumeration DateMay 15, 2025
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1932990272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X

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 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 45D2321271

Clinica Hispana Eben-Ezer LLC (dba) +salud · Dallas, TX
Active · expires Mar 31, 2027
CLIA Number45D2321271
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorMaribel Jacobo Hernandez
Laboratory Phone(945) 312-4798
Laboratory LocationClinica Hispana Eben-Ezer LLC (dba) +salud4043 E Trinity Mls Rd, Suite 103, Dallas, TX 75287
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Clinica Hispana Eben-Ezer LLC's NPI number?

The NPI number for Clinica Hispana Eben-Ezer LLC is 1932990272. It was assigned to this organization in the NPPES registry on May 15, 2025.

Where is Clinica Hispana Eben-Ezer LLC located?

Clinica Hispana Eben-Ezer LLC is located at 4043 Trinity Mills Rd Ste 103, Dallas, TX 75287. The listed phone number is (972) 707-9999.

What is Clinica Hispana Eben-Ezer LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Clinica Hispana Eben-Ezer LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2321271) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clinica Hispana Eben-Ezer LLC accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Clinica Hispana Eben-Ezer LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinica Hispana Eben-Ezer LLC was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.