Marie D Percy MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L4197 Issued in TX

Legal business name

MARIE D PERCY MD PA

Doing business as

Charles Medical Clinic

Practice address

4210 50TH St
Suite D
Lubbock, TX 79413-3863

Phone

(806) 795-1431

Fax

(806) 795-1461

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Brandi Tadlock

Title

Office Manager

Phone

(806) 795-1431

Specialties & licenses 1

Addresses

Other names 1

• Charles Medical Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karim Shoujaa

  • Chiropractor
  • Lubbock, TX
  • NPI 1285012930
  NPD (past)

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1114276276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 50TH ST",
            "address_2": "SUITE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133863",
            "telephone_number": "806-795-1431",
            "fax_number": "806-795-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 50TH ST",
            "address_2": "SUITE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133863",
            "telephone_number": "806-795-1431",
            "fax_number": "806-795-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE D PERCY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "TADLOCK",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "806-795-1431"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sabrina Marcum
• Mohammad Marei Kraishan
• Margaret a. Daly, MD PA
• Emily Margrave, PT, DPT
• Maria Cecilia Mitchell (Adaptive Medical Solutions)
• Blanca Marin, OTR, MOT
• Luisa Marin, MD
• Mark a. Barinque, DPM,PA (Plains Podiatry Associates)
• Mark D. Bogar, MD, PA
• Srinidhi Marka, MD, MBA

• Family Medicine Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.