Care Physician PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CARE PHYSICIAN PA

Practice address

630 N Coit Rd
Ste 2200
Richardson, TX 75080-3700

Phone

(214) 389-7400

Fax

(214) 389-7350

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Andrea I Bohannon

Title

Cfo

Phone

(214) 389-7380

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1154477529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N COIT RD",
            "address_2": "STE 2120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805457",
            "telephone_number": "214-389-7400",
            "fax_number": "214-389-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N COIT RD",
            "address_2": "STE 2200",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803700",
            "telephone_number": "214-389-7400",
            "fax_number": "214-389-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE PHYSICIAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "214-389-7380",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.