Address: 7008 Quartermile Ln, Dallas, TX 75248-1448
Phone: 3072568556

INSTACLINIC, LLC (NPI# 1659978401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659978401
Entity Type Organization
Organization Name INSTACLINIC, LLC
Practice Address 7008 Quartermile Ln
TX 75248-1448
Mailing Address Po Box 1142
WY 82003-1142
Practice Telephone 3072568556
Mailing Telephone 3072568556
Enumeration Date 2020-10-05
Last Update Date 2020-10-05
Authorized Official Name DANIEL E SURDAM (OWNER)
Authorized Official Telephone 3072568556
Authorized Official Credential MD
Is Organization Subpart N


Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497771653 Instaclinic, LLC Clinic/Center 10805 Sunset Office Dr, Suite 300, Saint Louis, MO 63127-1017 2006-07-14

Office Location

Street Address 7008 QUARTERMILE LN
State TX
Zip Code 75248-1448

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1184274896 Matilda N Nju General Practice 41 Kelso Way, Dallas, GA 30132-2618 2019-09-14
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1679983480 Nathaniel Ott General Practice 810 Turner Ave, Dallas, TX 75208-3737 2014-05-01
1720427057 Merritt Bonar Teddlie General Practice 7830 Meadow Park Dr, 108, Dallas, TX 75230-4942 2013-06-20
1871833673 Thomas Boone Fisher General Practice 6931 Azalea Ln, Dallas, TX 75230-3565 2013-02-15
1831433861 Christine M Gonzales General Practice 4017 Buena Vista St Unit 118, Dallas, TX 75204-1636 2012-11-15
1346532587 Shaheen John Hajibashi General Practice 5706 E Mockingbird Ln Ste 115, Dallas, TX 75206-5461 2011-05-06
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Zip Code 75248

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.