Active NPI
Healthkwik Texas Inc
- Primary Care Clinic/Center
- Dallas, TX
National Provider Identifier
1124134176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- HEALTHKWIK TEXAS INC
- Practice address
- 3434 W Illinois Ave
Dallas, TX 75211-8796 - Phone
- (214) 333-9600
- Fax
- (214) 333-9602
- NPI assigned
- Aug 22, 2006
- Organization subpart
- Yes
- Parent organization
- MEDBASICS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jodi Krusely
- Title
- Account Manager
- Phone
- (847) 838-3832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
3434 W Illinois Ave
Dallas, TX 75211-8796
Mailing address
PO Box 671621
Dallas, TX 75267-1621
Phone (972) 580-7700
Other names 1
- MedBasics
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200009600000",
"number": "1124134176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 671621",
"city": "DALLAS",
"state": "TX",
"postal_code": "752671621",
"telephone_number": "972-580-7700",
"fax_number": "972-580-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 W ILLINOIS AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752118796",
"telephone_number": "214-333-9600",
"fax_number": "214-333-9602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHKWIK TEXAS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDBASICS INC",
"enumeration_date": "2006-08-22",
"last_updated": "2008-01-11",
"status": "A",
"authorized_official_last_name": "KRUSELY",
"authorized_official_first_name": "JODI",
"authorized_official_title_or_position": "ACCOUNT MANAGER",
"authorized_official_telephone_number": "847-838-3832"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MedBasics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.