NPIMap

Organization Active NPI

Premier Med- Care,LLP

  • Primary Care Clinic/Center
  • Lewisville, TX
National Provider Identifier
1144405648
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
K9187 Issued in TX
Legal business name
PREMIER MED- CARE,LLP
Practice address
724 W Main St
160
Lewisville, TX 75067-3514
Phone
(972) 219-2300
Fax
(972) 219-2335
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Dr. Anuradha Rangaswamy Tavarekere, M.D
Title
Physician
Phone
(972) 219-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X K9187 TX Primary

Addresses

Primary practice location

724 W Main St
160
Lewisville, TX 75067-3514

Mailing address

724 W Main St
160
Lewisville, TX 75067-3514
Phone (972) 219-2300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1144405648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 W MAIN ST",
            "address_2": "160",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673514",
            "telephone_number": "972-219-2300",
            "fax_number": "972-219-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W MAIN ST",
            "address_2": "160",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673514",
            "telephone_number": "972-219-2300",
            "fax_number": "972-219-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MED- CARE,LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "TAVAREKERE",
        "authorized_official_first_name": "ANURADHA",
        "authorized_official_middle_name": "RANGASWAMY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-219-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K9187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.