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MALCOLM X PEDIATRIC CLINIC
NPI 1982904165
Clinic/Center - Primary Care in Dallas, TX

Active since October 22, 2010
4432 MALCOLM X BLVD., DALLAS, TX 75215(214) 428-2010(214) 428-2065 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Malcolm X Pediatric Clinic NPPES

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

MALCOLM X PEDIATRIC CLINIC (NPI 1982904165) is a healthcare organization registered as a primary care in Dallas, Texas and active in the NPI registry since October 2010. The organization lists Ruth Elaine Greer, Owner, as its authorized official.

NPPES Registry Identity

NPI1982904165
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMALCOLM X PEDIATRIC CLINIC
Location Address4432 MALCOLM X BLVD.Dallas, TX 75215
Mailing Address4432 Malcolm X Blvd.Dallas, TX 75215 · (214) 428-2010 · Fax (214) 428-2065
Phone(214) 428-2010
Fax(214) 428-2065
Organization SubpartNo
Authorized OfficialRuth Elaine GreerOwner · (214) 428-2010
Enumeration DateOctober 22, 2010
✔ NPI 1982904165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TX · 2-45458
4432 MALCOLM X BLVD., Dallas, TX 75215
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Other Identifiers 4

Medicare UPINP66023TX
Medicaid121321704TX
Medicaid1213217-02TX
Medicaid121321702TX

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 Malcolm X Pediatric Clinic's NPI number?

The NPI number for Malcolm X Pediatric Clinic is 1982904165. It was assigned to this organization in the NPPES registry on October 22, 2010.

Where is Malcolm X Pediatric Clinic located?

Malcolm X Pediatric Clinic is located at 4432 Malcolm X Blvd., Dallas, TX 75215. The listed phone number is (214) 428-2010.

What is Malcolm X Pediatric Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Malcolm X Pediatric Clinic was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.