Provider Demographics
NPI:1093573172
Name:CLINICA HF OAK CLIFF LLC
Entity Type:Organization
Organization Name:CLINICA HF OAK CLIFF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARSEL
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSEF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-248-0325
Mailing Address - Street 1:3434 W ILLINOIS AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75211-8813
Mailing Address - Country:US
Mailing Address - Phone:469-248-0325
Mailing Address - Fax:
Practice Address - Street 1:3434 W ILLINOIS AVE STE 202
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-8813
Practice Address - Country:US
Practice Address - Phone:469-248-0325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty