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BROADWAY I-30 MEDICAL CLINIC, PLLC
NPI 1992157697
Family Medicine in Garland, TX

Active since July 06, 2016
407 W INTERSTATE 30, GARLAND, TX 75043(972) 240-8539(972) 303-1994 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broadway I-30 Medical Clinic, Pllc NPPES

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

BROADWAY I-30 MEDICAL CLINIC, PLLC (NPI 1992157697) is a healthcare organization registered as a family medicine in Garland, Texas and active in the NPI registry since July 2016. The organization lists Carlton K Clarke, Medical Director-owner, as its authorized official.

NPPES Registry Identity

NPI1992157697
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBROADWAY I-30 MEDICAL CLINIC, PLLC
Location Address407 W INTERSTATE 30Garland, TX 75043-5912
Mailing Address407 W Interstate 30Garland, TX 75043-5912 · (972) 240-8539 · Fax (972) 303-1994
Phone(972) 240-8539
Fax(972) 303-1994
Organization SubpartNo
Authorized OfficialCarlton K ClarkeMedical Director-owner · (214) 803-4516
Enumeration DateJuly 6, 2016
✔ NPI 1992157697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · F0154
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.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License L4890 (TX)
407 W INTERSTATE 30, Garland, TX 75043
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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

Other Providers at the Same Location NPPES 6

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

VIJAYA NAMA MD PA
Clinic/Center (Primary Care)
407 W INTERSTATE 30
GARLAND, TX 75043
Dallas County (972) 303-3000
TEXAS BONE AND JOINT CENTER
Orthopaedic Surgery
407 W INTERSTATE 30
GARLAND, TX 75043
Dallas County (972) 240-8539
SHINI ROBIN
Nurse Practitioner (Family)
407 W INTERSTATE 30
GARLAND, TX 75043
Dallas County (972) 240-8539
HAIDER HEALTH SERVICES PLLC
Family Medicine
407 W INTERSTATE 30
GARLAND, TX 75043
Dallas County (972) 240-8539
CARLTON K CLARKE M.D., P.A,
Family Medicine
407 W INTERSTATE 30
GARLAND, TX 75043
Dallas County (972) 240-8539
MOHAMMED AL-HAIDER MD
Family Medicine
407 W INTERSTATE 30
GARLAND, TX 75043
Dallas County (972) 240-8539

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 Broadway I-30 Medical Clinic, PLLC's NPI number?

The NPI number for Broadway I-30 Medical Clinic, PLLC is 1992157697. It was assigned to this organization in the NPPES registry on July 6, 2016.

Where is Broadway I-30 Medical Clinic, PLLC located?

Broadway I-30 Medical Clinic, PLLC is located at 407 W Interstate 30, Garland, TX 75043. The listed phone number is (972) 240-8539.

What is Broadway I-30 Medical Clinic, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Broadway I-30 Medical Clinic, PLLC was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.