Active NPI
Triton Integrated Care PLLC
- Hospitalist Physician
- Coppell, TX
National Provider Identifier
1063801017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- L4906
- Legal business name
- TRITON INTEGRATED CARE PLLC
- Practice address
- 450 S Denton Tap Rd
3412
Coppell, TX 75019-7101 - Phone
- (817) 917-2015
- Fax
- (214) 481-4179
- NPI assigned
- Jan 14, 2015
- 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
- Anil I Desai, MD
- Title
- Manager
- Phone
- (817) 917-2015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | L4906 | TX | Primary |
Addresses
Primary practice location
450 S Denton Tap Rd
3412
Coppell, TX 75019-7101
Mailing address
PO Box 3412
Coppell, TX 75019-9412
Phone (817) 917-2015
National Provider Directory
National Provider DirectoryLocations
450 S Denton Tap Rd
Unit 3412
Coppell, TX 75019
Phone (817) 917-2015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471824000000",
"number": "1063801017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3412",
"city": "COPPELL",
"state": "TX",
"postal_code": "750199412",
"telephone_number": "817-917-2015",
"fax_number": "214-481-4179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 S DENTON TAP RD",
"address_2": "3412",
"city": "COPPELL",
"state": "TX",
"postal_code": "750197101",
"telephone_number": "817-917-2015",
"fax_number": "214-481-4179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRITON INTEGRATED CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-14",
"last_updated": "2016-08-22",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "ANIL",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "817-917-2015",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "TX",
"license": "L4906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Town Center ER, Inc.
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- Tranquility Dental, PLLC
- Transformation Physical Therapy LLC
- Mary Jo Treadway, RPH
- Cindy Truong
- Kiet Tuan Truong, M.D.
- Hadley Arden Turner, MSOTR/L
- Lea Ann Tutt, DENTAL HYGIENIST
- U S Radiology Partners of Texas Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.