Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinica Medica De Dallas, PA

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1861666018

Clinica Medica De Dallas, PA is a Geriatric Medicine (Family Medicine) Physician 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
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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