Organization Active NPI

Plano Family Clinic PLLC

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1346787603
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PLANO FAMILY CLINIC PLLC
Practice address
6100 K Ave
Suite 108
Plano, TX 75074-2538
Phone
(972) 509-0752
Fax
(972) 509-4926
NPI assigned
Jan 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Adriane Alexander
Title
Credentialing Manager
Phone
(469) 463-3353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6100 K Ave
Suite 108
Plano, TX 75074-2538

Mailing address

6100 K Ave
Suite 108
Plano, TX 75074-2538
Phone (972) 509-0752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170808000545 TX Part B Supplier - Clinic/Group Practice 6002187143 Receives reassigned benefits from 2 practitioners
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

6100 K Ave
Ste 108
Plano, TX 75074
Phone (469) 910-8283

6513 Chase Oaks Blvd
#A
Plano, TX 75023
Phone (972) 509-0752

6513A Chase Oaks Blvd
Plano, TX 75023
Phone (972) 509-0752

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1346787603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 K AVE",
            "address_2": "SUITE 108",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750742538",
            "telephone_number": "972-509-0752",
            "fax_number": "972-509-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 K AVE",
            "address_2": "SUITE 108",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750742538",
            "telephone_number": "972-509-0752",
            "fax_number": "972-509-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ADRIANE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "469-463-3353"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.