Frisco Lebanon Medical Center

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

FRISCO LEBANON MEDICAL CENTER

Practice address

4851 Legacy Dr
Suite 301
Frisco, TX 75034-0816

Phone

(214) 618-6800

Fax

(214) 618-6804

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Jacob John Novak, MD

Title

President

Phone

(972) 899-6666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205059813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761610213",
            "telephone_number": "972-899-6650",
            "fax_number": "972-899-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 LEGACY DR",
            "address_2": "SUITE 301",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340816",
            "telephone_number": "214-618-6800",
            "fax_number": "214-618-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRISCO LEBANON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-899-6666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Care Clinic/Center in Frisco, TX
• Providers in Frisco, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.