Organization Active NPI

Mustang Healthcare PLLC

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1245892017
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MUSTANG HEALTHCARE PLLC
Practice address
400 Stonebrook Pkwy Unit 201
Frisco, TX 75036-1181
Phone
(214) 387-1888
Fax
(214) 387-1889
NPI assigned
Jul 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Mr. Luis Bartelemy
Title
Owner
Phone
(954) 204-3977

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

400 Stonebrook Pkwy Unit 201
Frisco, TX 75036-1181

Mailing address

400 Stonebrook Pkwy Unit 201
Frisco, TX 75036-1181
Phone (214) 387-1888

Other practice location 1

3648 Old Denton Rd Ste 110
Carrollton, TX 75007-7980
Phone (214) 387-1888

Other names 1

  • Careone Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220322002942 TX Part B Supplier - Clinic/Group Practice 9638564057 Receives reassigned benefits from 2 practitioners
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

3648 Old Denton Rd
Ste 110
Carrollton, TX 75007
Phone (214) 387-1888

400 Stonebrook Pkwy
Unit 201
Frisco, TX 75036
Phone (214) 387-1888

360 Stonebrook Pkwy
Ste 112B
Frisco, TX 75036
Phone (972) 313-5017

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1245892017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STONEBROOK PKWY UNIT 201",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750361181",
            "telephone_number": "214-387-1888",
            "fax_number": "214-387-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STONEBROOK PKWY UNIT 201",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750361181",
            "telephone_number": "214-387-1888",
            "fax_number": "214-387-1889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3648 Old Denton Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750077980",
            "country_code": "US",
            "telephone_number": "214-387-1888",
            "fax_number": "214-387-1889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MUSTANG HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "BARTELEMY",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-204-3977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Careone Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.