Tla Health Services

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TLA HEALTH SERVICES

Practice address

5425 W Spring Creek Pkwy Ste 115
Plano, TX 75024-4333

Phone

(972) 899-9797

Fax

(469) 771-0268

NPI assigned

Feb 8, 2015

Organization subpart

No

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

Authorized official

Name

Trace Lawrence Alexander, FNPNPI 1952307845

Title

Owner

Phone

(972) 899-9797

Specialties & licenses 2

Addresses

Other names 1

• Legacy Pain and Regenerative Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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

• Trace Lawrence Alexander, FNP,DC

  • Family Nurse Practitioner
  • Plano, TX
  • NPI 1952307845

  Chiropractor

  Medicare reassignment NPD Authorized official
• Adam A Rodriguez, D.C., NP-C

  • Family Nurse Practitioner
  • Melissa, TX
  • NPI 1841365269

  Chiropractor

  Medicare reassignment NPD

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

{
    "created_epoch": "1423353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1275924680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118917",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750118917",
            "telephone_number": "972-899-9797",
            "fax_number": "972-899-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY STE 115",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244333",
            "telephone_number": "972-899-9797",
            "fax_number": "469-771-0268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16633 Dallas Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750016812",
            "country_code": "US",
            "telephone_number": "972-899-9797",
            "fax_number": "469-771-0268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TLA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-08",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "TRACE",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-899-9797",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Pain and Regenerative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.