NPIMap

Organization Active NPI

Southern Family Medical Clinic Inc.

  • Primary Care Clinic/Center
  • Carrollton, TX
National Provider Identifier
1184824682
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
261Q00000X Issued in TX
Legal business name
SOUTHERN FAMILY MEDICAL CLINIC INC.
Practice address
1927 E Belt Line Rd
146
Carrollton, TX 75006-5821
Phone
(214) 731-3027
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
PA Pan
Title
Director
Phone
(214) 731-3027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 261Q00000X TX Primary

Addresses

Primary practice location

1927 E Belt Line Rd
146
Carrollton, TX 75006-5821

Mailing address

1927 E Belt Line Rd
146
Carrollton, TX 75006-5821

National Provider Directory

National Provider Directory
Tax ID family
Carrollton Medical Health Clinic PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1184824682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 E BELT LINE RD",
            "address_2": "146",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 E BELT LINE RD",
            "address_2": "146",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065821",
            "telephone_number": "214-731-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN FAMILY MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "PA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-731-3027"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "261Q00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.