NPIMap

Organization Active NPI

Lumincare Physician Group, PA

  • Family Medicine Physician
  • Prosper, TX
National Provider Identifier
1265934749
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LUMINCARE PHYSICIAN GROUP, PA
Practice address
1000 North Preston Road Suite 60
Prosper, TX 75078
Phone
(469) 342-7010
Fax
(972) 347-6896
NPI assigned
Mar 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Authorized official

Name
Douglas S Won
Title
MD
Phone
(972) 255-5588

Specialties & licenses 1

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

Addresses

Primary practice location

1000 North Preston Road Suite 60
Prosper, TX 75078

Mailing address

4090 Mapleshade Lane Suite 220
Plano, TX 75093-0025
Phone (469) 680-4293

National Provider Directory

National Provider Directory
Tax ID family
Lumincare Physician Group PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11350 US Highway 380
Ste 100
Cross Roads, TX 76227
Phone (214) 296-2945

2914 Valley View Ln
Farmers Branch, TX 75234
Phone (214) 534-1651

4090 Mapleshade Ln
Ste 220
Plano, TX 75093

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1265934749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 MAPLESHADE LANE SUITE 220",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930025",
            "telephone_number": "469-680-4293",
            "fax_number": "214-313-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTH PRESTON ROAD SUITE 60",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "469-342-7010",
            "fax_number": "972-347-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINCARE PHYSICIAN GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "972-255-5588"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.