Physicians Data LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

PHYSICIANS DATA LLC

Practice address

221 W Mill Valley Dr
Colleyville, TX 76034-3672

Phone

(972) 292-7101

NPI assigned

Jun 21, 2010

Organization subpart

No

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

Authorized official

Name

Greg Pippin

Title

Ceo

Phone

(972) 292-7101

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1295056612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W MILL VALLEY DR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343672",
            "telephone_number": "972-292-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W MILL VALLEY DR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343672",
            "telephone_number": "972-292-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS DATA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "PIPPIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-292-7101"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fortsmith Pham, O.D.
• Khanh Phan, D.D.S.
• Justus Varghese Philip, M.D.
• T'Airra Phillips
• Paulina Phommahaxay
• Physicians Medical Data and Research Inc
• Pickture Perfect International LLC
• Robert Josh Pierce
• Kathryn Ann Pifer, D.O.
• Lynda Diane Pinto

• Physiological Laboratory in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.