Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Clinica Medica De Dallas, PA

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1861666018

Clinica Medica De Dallas, PA provides Geriatric Medicine (Family Medicine) Physician services in Dallas, Texas. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4811A Columbia Ave
Dallas, TX 75226-1034 Not confirmed with CMS for 18 years — call before visiting
Phone: (214) 823-5590
Fax: (214) 823-6638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X

Record details

NPI number1861666018
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benigno Buentipo — Vice-President · (214) 823-5590
NPI enumeratedApril 18, 2008
Last updated in NPPESApril 18, 2008
Mailing address4811a Columbia Ave, Dallas, TX 75226-1034

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