GBC Medical Associates PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP126911 Issued in TX

Legal business name

GBC MEDICAL ASSOCIATES PLLC

Practice address

237 South Gun Barrel Lane
Gun Barrel City, TX 75156

Phone

(903) 887-8884

NPI assigned

Mar 4, 2016

Organization subpart

No

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

Authorized official

Name

Mary Moody, FNP-BC, APRN

Title

Owner/Provider

Phone

(214) 908-9463

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12734/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1346600210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 SOUTH GUN BARREL LANE",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "75156",
            "telephone_number": "903-887-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 SOUTH GUN BARREL LANE",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "75156",
            "telephone_number": "903-887-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBC MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "214-908-9463",
        "authorized_official_credential": "FNP-BC, APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Gun Barrel City, TX
• Providers in Gun Barrel City, 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 Mar 23, 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.