Physicians Medical Data and Research Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

K1826 Issued in TX

Legal business name

PHYSICIANS MEDICAL DATA AND RESEARCH INC

Practice address

221 W Mill Valley Dr
Colleyville, TX 76034-3672

Phone

(888) 548-1149

NPI assigned

Jul 11, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Pippin

Title

Ceo

Phone

(888) 548-1149

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1164710240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W MILL VALLEY DR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W MILL VALLEY DR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343672",
            "telephone_number": "888-548-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MEDICAL DATA AND RESEARCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "PIPPIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-548-1149",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K1826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khanh Phan, D.D.S.
• Justus Varghese Philip, M.D.
• T'Airra Phillips
• Paulina Phommahaxay
• Physicians Data LLC
• Pickture Perfect International LLC
• Robert Josh Pierce
• Kathryn Ann Pifer, D.O.
• Lynda Diane Pinto
• Pioneer Anesthesia Associates, PLLC

• Specialist in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.