Active NPI
Landmark Medical of Texas PA
- General Practice Physician
- Irving, TX
National Provider Identifier
1366039984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- LANDMARK MEDICAL OF TEXAS PA
- Practice address
- 6363 N State Highway 161 Ste 100
Irving, TX 75038-2239 - Phone
- (657) 400-5180
- NPI assigned
- Dec 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Dennis, MD
- Title
- Chief Medical Officer
- Phone
- (657) 400-5180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
6363 N State Highway 161 Ste 100
Irving, TX 75038-2239
Mailing address
7755 Center Ave Ste 630
Huntington Beach, CA 92647-9152
Other practice location 1
14141 Southwest Fwy Ste 500
Sugar Land, TX 77478-3494
Phone (281) 256-0364
Other practice location 2
9325 Tarver Dr Ste A-102
Temple, TX 76502-6162
Phone (254) 218-3295
National Provider Directory
National Provider DirectoryLocations
14141 Southwest Fwy
Ste 500
Sugar Land, TX 77478
Phone (281) 256-0364
9325 Tarver Dr
Ste A-102
Temple, TX 76502
Phone (254) 218-3295
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Temple, TX
- NPI 1508561440
-
- Internal Medicine Physician
- Huntington Beach, CA
- NPI 1750332409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1366039984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7755 CENTER AVE STE 630",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926479152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 N STATE HIGHWAY 161 STE 100",
"city": "IRVING",
"state": "TX",
"postal_code": "750382239",
"telephone_number": "657-400-5180"
}
],
"practiceLocations": [
{
"address_1": "14141 Southwest Fwy Ste 500",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "774783494",
"country_code": "US",
"telephone_number": "281-256-0364",
"fax_number": "833-711-1699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9325 Tarver Dr Ste A-102",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765026162",
"country_code": "US",
"telephone_number": "254-218-3295",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LANDMARK MEDICAL OF TEXAS PA",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-29",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "DENNIS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "657-400-5180",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.