Organization Active NPI

Family Physicians of Wylie PA

  • Primary Care Clinic/Center
  • Wylie, TX
National Provider Identifier
1053591909
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FAMILY PHYSICIANS OF WYLIE PA
Practice address
801-A Hwy 78, Suite 201
Wylie, TX 75098-4000
Phone
(972) 429-1077
Fax
(972) 429-1173
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Mrs. Doreen Shinn
Title
A/R Manager
Phone
(972) 784-2800

Specialties & licenses 1

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

Addresses

Primary practice location

801-A Hwy 78, Suite 201
Wylie, TX 75098-4000

Mailing address

801-A Hwy 78, Suite 201
Wylie, TX 75098-4000
Phone (972) 429-1077

Other identifiers 1

IdentifierTypeStateIssuer
I10683OtherTXUPIN

National Provider Directory

National Provider Directory

Locations

801 S Highway 78
Ste 201
Wylie, TX 75098
Phone (972) 325-2285

Practitioners & affiliated clinicians

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": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1053591909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801-A HWY 78, SUITE 201",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984000",
            "telephone_number": "972-429-1077",
            "fax_number": "972-429-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801-A HWY 78, SUITE 201",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984000",
            "telephone_number": "972-429-1077",
            "fax_number": "972-429-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS OF WYLIE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "A/R MANAGER",
        "authorized_official_telephone_number": "972-784-2800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I10683",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.