Organization Active NPI

Tad Group LLC

  • Clinic/Center
  • Lumberton, TX
National Provider Identifier
1013453265
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
P8349 Issued in TX
Legal business name
TAD GROUP LLC
Practice address
1233 S Main St
Lumberton, TX 77657-7390
Phone
(409) 466-7125
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Tuan Dao, MDNPI 1124349055
Title
Manager
Phone
(409) 466-7125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X P8349 TX Primary

Addresses

Primary practice location

1233 S Main St
Lumberton, TX 77657-7390

Mailing address

1233 S Main St
Lumberton, TX 77657-7390
Phone (409) 466-7125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170804000889 TX Part B Supplier - Clinic/Group Practice 8628349917 Receives reassigned benefits from 1 practitioner
Practice locations: Lumberton, TX

National Provider Directory

National Provider Directory

Locations

1233 S Main St
Lumberton, TX 77657
Phone (409) 466-7125

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1013453265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 S MAIN ST",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577390",
            "telephone_number": "409-466-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 S MAIN ST",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577390",
            "telephone_number": "409-466-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAD GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "DAO",
        "authorized_official_first_name": "TUAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "409-466-7125",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "P8349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.