South Polk Medical Clinic LLC
NPI 1043351760 · Nurse Practitioner · Dallas, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Polk Medical Clinic LLC is a Nurse Practitioner organization in Dallas, TX (NPI 1043351760).
Provider details
- NPI number
- 1043351760
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- El Greco Roberts, Vice President of Business Affairs(214) 372-1051
- License
- 578285 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2011-07-26
Frequently asked questions
- What is South Polk Medical Clinic LLC's NPI number?
- South Polk Medical Clinic LLC's National Provider Identifier (NPI) is 1043351760, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Polk Medical Clinic LLC?
- South Polk Medical Clinic LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is South Polk Medical Clinic LLC located?
- South Polk Medical Clinic LLC's practice location on file with NPPES is 3436 S Polk St, Dallas, TX 75224-3804.
- What is South Polk Medical Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for South Polk Medical Clinic LLC is (214) 372-1051.
- Does South Polk Medical Clinic LLC accept Medicare?
- South Polk Medical Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Polk Medical Clinic LLC?
- The authorized official listed on South Polk Medical Clinic LLC's NPPES record is El Greco Roberts, Vice President of Business Affairs. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Polk Medical Clinic LLC's NPI active?
- Yes — South Polk Medical Clinic LLC's NPI (1043351760) is active in the NPPES registry as of the last update on 2011-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.