Organization Active NPI

Nortex Physical Medicine, PLLC

  • General Practice Physician
  • Garland, TX
National Provider Identifier
1104541408
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NORTEX PHYSICAL MEDICINE, PLLC
Practice address
6550 Naaman Forest Blvd
Garland, TX 75044-5691
Phone
(972) 330-4264
NPI assigned
Oct 10, 2022
Last updated
Oct 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Shannon Barnes
Title
Manager
Phone
(972) 872-8254

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6550 Naaman Forest Blvd
Garland, TX 75044-5691

Mailing address

5999 Custer Road, Suite 110
#515
Frisco, TX 75035-9304

National Provider Directory

National Provider Directory

Locations

5999 Custer Rd
Ste 110
Frisco, TX 75035

6550 Naaman Forest Blvd
Garland, TX 75044
Phone (972) 330-4264

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1104541408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5999 CUSTER ROAD, SUITE 110",
            "address_2": "#515",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 NAAMAN FOREST BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445691",
            "telephone_number": "972-330-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTEX PHYSICAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-08",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-872-8254"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.