Organization Active NPI

Barracuda Ventures

  • Surgical Physician Assistant
  • Richardson, TX
National Provider Identifier
1285093609
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
BARRACUDA VENTURES
Practice address
1202 E Arapaho Rd
Suite 122
Richardson, TX 75081-2477
Phone
(972) 979-6222
Fax
(972) 559-3391
NPI assigned
Feb 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Christopher J Brock
Title
Managing Partner
Phone
(972) 979-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

1202 E Arapaho Rd
Suite 122
Richardson, TX 75081-2477

Mailing address

1202 E Arapaho Rd
Suite 122
Richardson, TX 75081-2477
Phone (972) 979-6222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1285093609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E ARAPAHO RD",
            "address_2": "SUITE 122",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812477",
            "telephone_number": "972-979-6222",
            "fax_number": "972-559-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E ARAPAHO RD",
            "address_2": "SUITE 122",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812477",
            "telephone_number": "972-979-6222",
            "fax_number": "972-559-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRACUDA VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "972-979-6222"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.