Stonebriar Imaging LP

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

R28955 Issued in TX

Legal business name

STONEBRIAR IMAGING LP

Practice address

3550 Parkwood Blvd
Suite C 302
Frisco, TX 75034-1903

Phone

(214) 618-4674

Fax

(214) 618-4681

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Phillip A Clifford Jr.

Title

Managing Partner

Phone

(214) 618-4674

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stonebriar Medical Imaging Doing business as

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1114074614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 PARKWOOD BLVD",
            "address_2": "C302",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341903",
            "telephone_number": "214-618-4674",
            "fax_number": "214-618-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 PARKWOOD BLVD",
            "address_2": "SUITE C 302",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341903",
            "telephone_number": "214-618-4674",
            "fax_number": "214-618-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBRIAR IMAGING LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "214-618-4674",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "R28955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174224901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonebriar Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie N Stone, PHARMD
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• Stonebriar Vision Centre, P.a.

• Radiology Clinic/Center in Frisco, TX
• Providers in Frisco, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.