Organization Active NPI

Famicare Clinic, PA

  • Primary Care Clinic/Center
  • Garland, TX
National Provider Identifier
1164744660
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
N3945 Issued in TX
Legal business name
FAMICARE CLINIC, PA
Practice address
3465 W Walnut St
Suite 225
Garland, TX 75042-7153
Phone
(972) 272-7816
NPI assigned
Feb 24, 2010
Last updated
Feb 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Dr. Huy Quoc Nguyen, MD
Title
Medical Doctor
Phone
(972) 804-4138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X N3945 TX Primary

Addresses

Primary practice location

3465 W Walnut St
Suite 225
Garland, TX 75042-7153

Mailing address

2445 Chesapeake Dr
Garland, TX 75043-1497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100521000494 TX Part B Supplier - Clinic/Group Practice 3577692169 Receives reassigned benefits from 5 practitioners
Practice locations: Garland, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1164744660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 CHESAPEAKE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 W WALNUT ST",
            "address_2": "SUITE 225",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427153",
            "telephone_number": "972-272-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMICARE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUY",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "972-804-4138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "N3945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.