Individual provider Active NPI

Tina S Brown, PA-C

  • Medical Physician Assistant
  • Plano, TX
National Provider Identifier
1093065302
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA08777 Issued in TX
Practice address
7211 Preston Rd Ste 4900
Plano, TX 75024-3394
Phone
(469) 303-8440
Fax
(469) 303-0675
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.200558 LA
Medical Physician Assistant 363AM0700X PA08777 TX Primary

Addresses

Primary practice location

7211 Preston Rd Ste 4900
Plano, TX 75024-3394

Mailing address

7211 Preston Rd Ste 4900
Plano, TX 75024-3394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180131003257 TX Practitioner - Physician Assistant 5395995682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.200558LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 1, 2021 Accepting new patients
Dallas Physician Medical Services for Children Inc CurrentSince May 1, 2019 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 1, 2021 Accepting new patients
Ark-la-Tex Cardiology, Apmc Past Accepting new patients
Cardiology Associates-a Medical Corporation Past Accepting new patients

Locations

7777 Forest Ln
Ste B309
Dallas, TX 75230
Phone (972) 566-6996

1935 Medical District Dr
Unit A
Dallas, TX 75235

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000

2828 Duke of Gloucester St
Ste 106
Desoto, TX 75115
Phone (972) 298-3888

252 Matlock Rd
Ste 330
Mansfield, TX 76063
Phone (817) 557-5437

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

7211 Preston Rd
Ste 4900
Plano, TX 75024
Phone (469) 303-8440

1300 Childrens Way
Ste 310
Prosper, TX 75078
Phone (469) 303-3510

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1093065302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 PRESTON RD STE 4900",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 PRESTON RD STE 4900",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243394",
            "telephone_number": "469-303-8440",
            "fax_number": "469-303-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TINA",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200558",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.