Pro Physicians Clinic PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

PRO PHYSICIANS CLINIC PA

Practice address

7501 Lakeview Pkwy
Rowlett, TX 75088-9322

Phone

(972) 475-4999

Fax

(972) 475-4422

NPI assigned

Mar 15, 2010

Last updated

Mar 15, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

PRO PHYSICIANS CLINIC PAAs reported in NPPES

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

Authorized official

Name

Jon D. Tryggestad

Title

Ceo

Phone

(972) 573-4611

Specialties & licenses 1

Addresses

Part of

Pro Physicians Clinic PA

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1033433420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678234",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678234",
            "telephone_number": "972-475-4999",
            "fax_number": "972-475-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 LAKEVIEW PKWY",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750889322",
            "telephone_number": "972-475-4999",
            "fax_number": "972-475-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO PHYSICIANS CLINIC PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRO PHYSICIANS CLINIC PA",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "TRYGGESTAD",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-573-4611"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmine Premji
• Prestige Vision
• Tiffani Joy Price
• Prime Surgical Associates Inc.
• Lily Fathy Primo, M.D
• Jean Louise Probst
• Prolab Diagnostics LLC
• Providence Holdings Inc.
• Michael Pruitt, D.P.T.
• Carlstene Lane Pryer, LPC

• Radiation Oncology Physician in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.