Metro Ear Nose and Throat

Primary specialty

SpecialistTaxonomy code 174400000X

License

D9259 Issued in TX

Legal business name

METRO EAR NOSE AND THROAT

Practice address

4708 Alliance Boulevard
Pavillion 1 Suite#860
Plano, TX 75093-5340

Phone

(214) 742-2194

Fax

(214) 827-0162

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Fred Delano Owens, MD

Title

Ceo

Phone

(214) 742-2194

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• EAR CONSULTANTS OF THE SW Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Metro Ear Nose and Throat Associates, PA

  • Specialist
  • Fort Worth, TX
  • NPI 1053545277

  O20041115000944

  Same enrollment
• Metro Ear Nose and Throat Associates, PA

  • Specialist
  • Plano, TX
  • NPI 1184829707

  O20041115000944

  Same enrollment

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1104136928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 JUNIUS STREET",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461427",
            "telephone_number": "214-742-2194",
            "fax_number": "214-827-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BOULEVARD",
            "address_2": "PAVILLION 1 SUITE#860",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935340",
            "telephone_number": "214-742-2194",
            "fax_number": "214-827-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO EAR NOSE AND THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "DELANO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-742-2194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "D9259",
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039138501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAR CONSULTANTS OF THE SW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EAR CONSULTANTS OF THE SW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Metro Ear Nose and Throat
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• Specialist in Plano, TX
• Providers in Plano, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.