MID CITIES HEALTH LLC NPI 1679967145

NPI Information

  • NPI: 1679967145
  • Provider Name: MID CITIES HEALTH LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 45D2191903
  • Address: 1601 LANCASTER DR STE 160
    GRAPEVINE, TX
    ZIP 76051
  • Phone: (817) 510-9645

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NPI Details

MID CITIES HEALTH LLC is a family medicine in Grapevine, TX. The provider is 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. MID CITIES HEALTH LLC NPI is 1679967145. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1601 LANCASTER DR STE 160
GRAPEVINE, TX
ZIP 76051-107
Phone: (817) 510-9645
Fax: (817) 685-6047

The provider's authorized official is Saba Shabnam .
The authorized official title is Medical Director / Owner and has the following contact phone number (817) 776-0605.

The CLIA number assigned to this NPI record is 45D2191903 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/23/2015 and was last updated on 3/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineM2797TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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