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

Malcolm X Pediatric Clinic

Organization Nurse Practitioner · NPI 1518290469

Malcolm X Pediatric Clinic is a Nurse Practitioner in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
Specialties on file
3

Practice location Address checks out

4432 Malcolm X Blvd
Dallas, TX 75215-4349
Phone: (214) 428-2010
Fax: (214) 428-2065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 245458 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 245458 (TX)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 245458 (TX)

Record details

NPI number1518290469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Greer — Owner · (214) 428-2010
NPI enumeratedSeptember 10, 2009
Last updated in NPPESSeptember 10, 2009
Mailing address4432 Malcolm X Blvd, Dallas, TX 75215-4349

Other providers in Dallas