Organization Active NPI

Kuraoka Clinic Texas, PLLC

  • Primary Care Clinic/Center
  • Carrollton, TX
National Provider Identifier
1013463488
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
Q8334 Issued in TX
Legal business name
KURAOKA CLINIC TEXAS, PLLC
Practice address
3012 E Hebron Pkwy Ste 104
Carrollton, TX 75010-4461
Phone
(972) 306-0808
NPI assigned
Aug 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Maki Rheaume
Title
Owner
Phone
(770) 980-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Q8334 TX Primary

Addresses

Primary practice location

3012 E Hebron Pkwy Ste 104
Carrollton, TX 75010-4461

Mailing address

100 Galleria Pkwy SE Ste 660
Atlanta, GA 30339-5912
Phone (770) 980-0000

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2115887Kuraoka Clinic Texas3012 East Hebron Pkwy, Suite 104, Carrollton, TX 75010Certificate of waiverJul 13, 2028

National Provider Directory

National Provider Directory

Locations

100 Galleria Pkwy SE
Ste 660
Atlanta, GA 30339
Phone (770) 980-0000

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1013463488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GALLERIA PKWY SE STE 660",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395912",
            "telephone_number": "770-980-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 E HEBRON PKWY STE 104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104461",
            "telephone_number": "972-306-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURAOKA CLINIC TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "RHEAUME",
        "authorized_official_first_name": "MAKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-980-0000"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "Q8334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.