Organization Active NPI

Reliant Transitional Care LLC

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1083057376
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RELIANT TRANSITIONAL CARE LLC
Practice address
5212 Village Creek Dr
Plano, TX 75093-5066
Phone
(972) 447-9800
NPI assigned
Apr 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Mark Fowler
Title
Chief Executive Officer
Phone
(225) 571-6050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5212 Village Creek Dr
Plano, TX 75093-5066

Mailing address

5212 Village Creek Dr
Plano, TX 75093-5066
Phone (972) 447-9800

Other names 1

  • Reliant Medical Management Doing business as

National Provider Directory

National Provider Directory

Locations

1050 Grand Blvd
Boerne, TX 78006
Phone (830) 816-4100

6860 Dallas Pkwy
Ste 550
Plano, TX 75024
Phone (877) 899-5188

5212 Village Creek Dr
Plano, TX 75093
Phone (972) 732-7797

7302 Oak Manor Dr
#R
San Antonio, TX 78229

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1083057376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 VILLAGE CREEK DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935066",
            "telephone_number": "972-447-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 VILLAGE CREEK DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935066",
            "telephone_number": "972-447-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT TRANSITIONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "225-571-6050"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliant Medical Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.