Organization
MALCOLM X PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH ELAINE GREER NP-C (OWNER)
(214) 428-2010
Entity
Organization
Contact information
Practice address
4432 MALCOLM X BLVD., DALLAS, TX 75215
(214) 428-2010
(214) 428-2065
Mailing address
4432 MALCOLM X BLVD., DALLAS, TX 75215
(214) 428-2010
(214) 428-2065
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2-45458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1213217-02
—
TX
05
—
121321702
—
TX
05
—
121321704
—
TX
Enumeration date
10/22/2010
Last updated
10/22/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us