NPIMap

Organization Active NPI

Justin Family Medical

  • Primary Care Clinic/Center
  • Justin, TX
National Provider Identifier
1194175604
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JUSTIN FAMILY MEDICAL
Practice address
310 W 2ND St
Justin, TX 76247-5023
Phone
(940) 648-9900
NPI assigned
Jun 15, 2016
Last updated
Jun 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Monty G Morris, PA-CNPI 1962404822
Title
Owner
Phone
(940) 648-9900

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
Primary Care Clinic/Center 261QP2300X TX Primary

Addresses

Primary practice location

310 W 2ND St
Justin, TX 76247-5023

Mailing address

310 W 2ND St
Justin, TX 76247-5023

National Provider Directory

National Provider Directory

Locations

310 W 2nd St
Justin, TX 76247
Phone (940) 648-9900

Practitioners & affiliated clinicians

Practitioners 6

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": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1194175604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W 2ND ST",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762475023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W 2ND ST",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762475023",
            "telephone_number": "940-648-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN FAMILY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MONTY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-648-9900",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Justin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.