NPI age
12 years
Enumerated 2014-01-17
● Active Type 2 · Organization
Modern Male T-Clinic, P.A.
Modern Male T-Clinic, P.A. is 1 of 2087 general practice organizations in Texas.
Primary specialty
General Practice
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Campo
Owner
Last NPPES update
2014-01-17
Source: monthly bulk 2026-05
How this organization compares
Across 2087 active general practice providers in Texas.
NPI age
12 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-01Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
15340 Dallas Pkwy, Ste2400
Dallas, TX 752484636
Mailing address
15340 Dallas Pkwy, Ste2400
Dallas, TX 752484636
Authorized official
Salvatore Campo
Owner
📞 8002465698
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Mariah Courtney, NP Nurse Practitioner NPI 1700613049
- Travis Fahey, D.C. Chiropractor NPI 1154875532
- Brian Hooten, D.C. Chiropractor NPI 1154415677
- Ernie James, NP-C Nurse Practitioner NPI 1821548660
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.