Active NPI
Kuraoka Clinic Texas, PLLC
- Primary Care Clinic/Center
- Carrollton, TX
National Provider Identifier
1013463488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- Q8334
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2115887 | Kuraoka Clinic Texas | Certificate of waiver | Jul 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.