NPI age
9 years
Enumerated 2016-07-06
● Active Type 2 · Organization
Broadway I-30 Medical Clinic, Pllc
Broadway I-30 Medical Clinic, Pllc is 1 of 15966 family medicine organizations in Texas.
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clarke
Medical Director-Owner
Last NPPES update
2016-07-06
Source: monthly bulk 2026-05
How this organization compares
Across 15966 active family medicine providers in Texas.
NPI age
9 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-07Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
407 W Interstate 30
Garland, TX 750435912
Mailing address
407 W Interstate 30
Garland, TX 750435912
Authorized official
Carlton K Clarke, MD
Medical Director-Owner
📞 2148034516
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Mohammed Al-Haider, MD Family Medicine NPI 1750640249
- Shini Robin Nurse Practitioner NPI 1346870938
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Obstetrics & GynecologyAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Practice context
Multi-provider organization. 2 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.