Active NPI
Dang Medical Clinic PA
- Family Medicine Physician
- Cleburne, TX
National Provider Identifier
1194274464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DANG MEDICAL CLINIC PA
- Practice address
- 110 W Henderson St
Cleburne, TX 76033-4906 - Phone
- (817) 774-5008
- Fax
- (817) 774-5034
- NPI assigned
- Sep 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John T Dang, MD
- Title
- Owner
- Phone
- (817) 774-5008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
110 W Henderson St
Cleburne, TX 76033-4906
Mailing address
110 W Henderson St
Cleburne, TX 76033-4906
Phone (817) 774-5008
National Provider Directory
National Provider DirectoryLocations
110 W Henderson St
Cleburne, TX 76033
Phone (817) 645-2411
Interoperability endpoints
- https://api.platform.athenahealth.com/14822/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475020800000",
"number": "1194274464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W HENDERSON ST",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334906",
"telephone_number": "817-774-5008",
"fax_number": "817-774-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W HENDERSON ST",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334906",
"telephone_number": "817-774-5008",
"fax_number": "817-774-5034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANG MEDICAL CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-28",
"last_updated": "2016-09-28",
"status": "A",
"authorized_official_last_name": "DANG",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-774-5008",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.