Organization Active NPI

Huned Husain MD PLLC

  • Primary Care Clinic/Center
  • Grapevine, TX
National Provider Identifier
1043455884
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
L6952 Issued in TX
Legal business name
HUNED HUSAIN MD PLLC
Practice address
517 Chasewood Dr
Grapevine, TX 76051-4407
Phone
(817) 722-8852
NPI assigned
Dec 9, 2008
Last updated
Dec 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Huned M Husain, MDNPI 1679535645
Title
Manager
Phone
(817) 722-8852

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
Primary Care Clinic/Center 261QP2300X L6952 TX Primary

Addresses

Primary practice location

517 Chasewood Dr
Grapevine, TX 76051-4407

Mailing address

517 Chasewood Dr
Grapevine, TX 76051-4407

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140224001141 TX Part B Supplier - Clinic/Group Practice 4880824630 Receives reassigned benefits from 1 practitioner
Practice locations: Grapevine, TX

National Provider Directory

National Provider Directory

Locations

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1043455884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 CHASEWOOD DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 CHASEWOOD DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514407",
            "telephone_number": "817-722-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNED HUSAIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "HUNED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-722-8852",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "L6952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.