Primary Care Internal Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L8045 Issued in TX

Legal business name

PRIMARY CARE INTERNAL MEDICINE PLLC

Practice address

1111 Raintree Cir
Suite 240
Allen, TX 75013-4901

Phone

(972) 908-3455

Fax

(972) 908-3477

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark Frederick Doerner, M.D.

Title

Sole Owner

Phone

(972) 908-3455

Specialties & licenses 1

Addresses

Other names 1

• MARK DOERNER SOLE MBR Other name

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1306023049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 RAINTREE CIR",
            "address_2": "SUITE 240",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134901",
            "telephone_number": "972-908-3455",
            "fax_number": "469-640-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RAINTREE CIR",
            "address_2": "SUITE 240",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134901",
            "telephone_number": "972-908-3455",
            "fax_number": "972-908-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "DOERNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "972-908-3455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARK DOERNER SOLE MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Internal Medicine Physician in Allen, TX
• Providers in Allen, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.