Organization Active NPI

Healing Companion Medical Clinic, PLLC

  • Internal Medicine Physician
  • Garland, TX
National Provider Identifier
1184898207
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2844 Issued in TX
Legal business name
HEALING COMPANION MEDICAL CLINIC, PLLC
Practice address
3110 Lamesa Dr
Garland, TX 75041
Phone
(972) 675-3818
Fax
(214) 703-0808
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Dr. Nhu Quynh Tran, DONPI 1861414005
Title
Doctor
Phone
(214) 676-3166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X M2844 TX Primary

Addresses

Primary practice location

3110 Lamesa Dr
Garland, TX 75041

Mailing address

3110 Lamesa Dr
Garland, TX 75041-4201
Phone (214) 676-3166

Other identifiers 1

IdentifierTypeStateIssuer
0093RDOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090112000158 TX Part B Supplier - Clinic/Group Practice 2769541374 Receives reassigned benefits from 1 practitioner
Practice locations: Garland, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1043977Healing Companion Medical Clinic, PLLC3110 Lamesa Drive, Garland, TX 75041Certificate of waiverAug 8, 2027

National Provider Directory

National Provider Directory

Locations

4801 Bryan St
Ste 500
Dallas, TX 75204
Phone (214) 515-9646

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1184898207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 LAMESA DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750414201",
            "telephone_number": "214-676-3166",
            "fax_number": "214-703-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 LAMESA DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75041",
            "telephone_number": "972-675-3818",
            "fax_number": "214-703-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING COMPANION MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "NHU",
        "authorized_official_middle_name": "QUYNH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "214-676-3166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0093RD",
            "state": "TX"
        }
    ],
    "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 Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.