Phillips Family Medical, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PHILLIPS FAMILY MEDICAL, PLLC

Practice address

402 W Wheatland Rd
Suite 170-C
Duncanville, TX 75116-4600

Phone

(214) 507-1684

NPI assigned

Feb 18, 2014

Last updated

Feb 18, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

PHILLIPS FAMILY MEDICAL, PLLCAs reported in NPPES

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

Authorized official

Name

Ben Phillips

Title

Practice Manager

Phone

(214) 507-1684

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Phillips Family Medical PLLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Kay Chapman, PHD, FNP

  • Family Nurse Practitioner
  • Desoto, TX
  • NPI 1821247594
  Medicare reassignment Care Compare group NPD
• James E Race

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1942268586
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1346664919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W WHEATLAND RD",
            "address_2": "SUITE 170-C",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164600",
            "telephone_number": "214-507-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W WHEATLAND RD",
            "address_2": "SUITE 170-C",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164600",
            "telephone_number": "214-507-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS FAMILY MEDICAL, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHILLIPS FAMILY MEDICAL, PLLC",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "214-507-1684"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Permanent Resolutions
• Anthony Peterson, OD
• Courtney Lynn Petsch, MA, BCBA
• Brian Pham, DMD
• PHCS,Inc (Premier Health Care Services II)
• Joe Arnold Phipps, D.O.
• Kathleen Pittman, RPH
• Leah Jean Pittmon, D.C.
• Erica Polk
• Positive Thoughts Counseling & Consulting, LLC

• Clinic/Center in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.