NPIMap

Organization Active NPI

Pleasanton Family Medicine PLLC

  • Primary Care Clinic/Center
  • Pleasanton, TX
National Provider Identifier
1043469422
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
L7917 Issued in TX
Legal business name
PLEASANTON FAMILY MEDICINE PLLC
Practice address
1240 W Oaklawn Rd
Suite 106
Pleasanton, TX 78064-4300
Phone
(830) 569-3553
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Thomas T Vuong, MDNPI 1669584181
Title
Owner
Phone
(830) 569-3553

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X L7917 TX Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1240 W Oaklawn Rd
Suite 106
Pleasanton, TX 78064-4300

Mailing address

1240 W Oaklawn Rd
Suite 106
Pleasanton, TX 78064-4300
Phone (830) 569-3553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081202000892 TX Part B Supplier - Clinic/Group Practice 8325109846 Receives reassigned benefits from 1 practitioner
Practice locations: Pleasanton, TX

National Provider Directory

National Provider Directory

Locations

1240 W Oaklawn Rd
Ste 106
Pleasanton, TX 78064
Phone (830) 569-3553

Practitioners 1

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": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1043469422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 W OAKLAWN RD",
            "address_2": "SUITE 106",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644300",
            "telephone_number": "830-569-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 W OAKLAWN RD",
            "address_2": "SUITE 106",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644300",
            "telephone_number": "830-569-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANTON FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "VUONG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-569-3553",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "L7917",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.