# DALLAS INSTITUTE OF ADVANCED MEDICINE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417128505
- **Authorized official:** DR. EDWIN ESCOBAR-VAZQUEZ M.D. (PRESIDENT)
- **Authorized official phone:** (214) 339-9350

## Contact information

- **Practice address:** 2909 S HAMPTON RD, SUITE F- 122, LOCK BOX 29, DALLAS, TX 75224-3000
- **Practice address phone:** (214) 339-9350
- **Practice address fax:** (214) 331-9164
- **Mailing address:** DALLAS INSTITUTE OF ADVANCED MEDICINE INC6, P.O. BOX 9236, DALLAS, TX 75209-9236
- **Mailing address phone:** (214) 339-9350
- **Mailing address fax:** (214) 331-9164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | J1085 | TX | Yes |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 10/09/2008