Active NPI
Trophy Club Medical Services, LLP
Doing business as Trophy Club Family Medicine
- Family Medicine Physician
- Trophy Club, TX
National Provider Identifier
1245488436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2008
- 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
- Lainey Gee, CMC
- Title
- Business Manager
- Phone
- (817) 430-9111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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
- The Powerful Body PLLC
- Shilpa Elizabeth Thomas, DPT
- Town of Trophy Club (Trophy Club EMS)
- Trophy Club Family Medicine PA (Trophy Club Family Medicine)
- Trophy Club Medical Center LP (Baylor Scott & White Medical Center - Trophy Club)
- Trophy Club Pediatrics PA
- Trophy Club Smiles PLLC
- Trophy Club Vision Care LLP
- Trophy Club Vision Care PLLC (Trophy Club Vision Care)
- Trophy Dental PA
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.