Organization Active NPI

Manuel C Pecana MD PLLC

  • Specialist
  • Irving, TX
National Provider Identifier
1013429687
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G7304 Issued in TX
Legal business name
MANUEL C PECANA MD PLLC
Practice address
1600 Crockett Cir
Irving, TX 75038-6221
Phone
(817) 994-7095
Fax
(682) 238-3508
NPI assigned
Nov 3, 2017
Last updated
Nov 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Manuel C Pecana, MD
Title
President
Phone
(817) 994-7095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G7304 TX Primary

Addresses

Primary practice location

1600 Crockett Cir
Irving, TX 75038-6221

Mailing address

1615 W Abram St
Arlington, TX 76013-1788
Phone (682) 238-3507

National Provider Directory

National Provider Directory

Locations

2601 Tandy Ave
#L
Fort Worth, TX 76103
Phone (817) 535-1235

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1013429687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 W ABRAM ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760131788",
            "telephone_number": "682-238-3507",
            "fax_number": "682-238-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CROCKETT CIR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386221",
            "telephone_number": "817-994-7095",
            "fax_number": "682-238-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL C PECANA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "PECANA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-994-7095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G7304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.