Organization Active NPI

Trophy Club Medical Services, LLP

Doing business as Trophy Club Family Medicine

  • Family Medicine Physician
  • Trophy Club, TX
National Provider Identifier
1245488436
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TROPHY CLUB MEDICAL SERVICES, LLP
Doing business as
Trophy Club Family Medicine
Practice address
301 Trophy Lake Dr
Suite 136
Trophy Club, TX 76262-5238
Phone
(817) 430-9111
Fax
(817) 430-8911
NPI assigned
Sep 3, 2008
Last updated
Sep 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Lainey Gee, CMC
Title
Business Manager
Phone
(817) 430-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

301 Trophy Lake Dr
Suite 136
Trophy Club, TX 76262-5238

Mailing address

301 Trophy Lake Dr
Suite 136
Trophy Club, TX 76262-5238
Phone (817) 430-9111

Other names 1

  • Trophy Club Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

301 Trophy Lake Dr
Unit 136
Trophy Club, TX 76262
Phone (817) 430-9111

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1245488436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 TROPHY LAKE DR",
            "address_2": "SUITE 136",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625238",
            "telephone_number": "817-430-9111",
            "fax_number": "817-430-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 TROPHY LAKE DR",
            "address_2": "SUITE 136",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625238",
            "telephone_number": "817-430-9111",
            "fax_number": "817-430-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROPHY CLUB MEDICAL SERVICES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "GEE",
        "authorized_official_first_name": "LAINEY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "817-430-9111",
        "authorized_official_credential": "CMC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trophy Club Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trophy Club, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.