MERCY FAMILY CLINIC – NPI #1154560027
Family Medicine

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.

MERCY FAMILY CLINIC is a provider located in DALLAS, TX. NPPES has assigned the NPI number 1154560027 to MERCY FAMILY CLINIC on February 17, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is EBERE ISRAEL AZUBUIKE MD PA. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Jan 10, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MERCY FAMILY CLINIC below.

NPI Profile for
MERCY FAMILY CLINIC

NPI Number
1154560027
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MERCY FAMILY CLINIC
Former Legal Business Name: EBERE ISRAEL AZUBUIKE MD PA
Primary location
2409 ALCO AVE
DALLAS, TX 75211-2614
Phone: (214) 942-2377 Fax: (214) 942-2977
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EBERE AZUBUIKE
PRESIDENT/ CEO
Phone: (214) 942-2377
Updated
Certification Date
Jan 10, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MERCY FAMILY CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBS OF TXTX0069SD
otherLICENCETXM9136
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
TX M9136

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.