Platinum Medical Center Princeton

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PLATINUM MEDICAL CENTER PRINCETON

Practice address

820 E Princeton Dr
Princeton, TX 75407-9015

Phone

(972) 734-2550

NPI assigned

Apr 7, 2021

Organization subpart

No

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

Authorized official

Name

Melissa Driver

Title

Manager

Phone

(214) 422-1047

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1104405844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S HIGHWAY 78 STE 207",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984000",
            "telephone_number": "214-422-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E PRINCETON DR",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754079015",
            "telephone_number": "972-734-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM MEDICAL CENTER PRINCETON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-422-1047"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy Operations Inc
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• Aayushi Kalpeshkumar Potla, PT
• Princeton Dental and Orthodontics PLLC
• Princeton Dental Studio
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• Clinic/Center in Princeton, TX
• Providers in Princeton, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.