NPIMap

Organization Active NPI

Premier Housecall Physicians LLC

  • Internal Medicine Physician
  • Garland, TX
National Provider Identifier
1376814616
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M4412 Issued in TX
Legal business name
PREMIER HOUSECALL PHYSICIANS LLC
Practice address
1015 W Centerville Rd
#118
Garland, TX 75041-5914
Phone
(214) 766-1955
Fax
(972) 808-6035
NPI assigned
Jan 18, 2012
Last updated
May 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Dr. Chukwuma C Osuagwu, MDNPI 1487748661
Title
Ceo
Phone
(214) 766-1955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X M4412 TX Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1015 W Centerville Rd
#118
Garland, TX 75041-5914

Mailing address

1015 W Centerville Rd
#118
Garland, TX 75041-5914
Phone (214) 766-1955

National Provider Directory

National Provider Directory

Locations

1015 W Centerville Rd
Ste 118
Garland, TX 75041
Phone (214) 758-0332

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1376814616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W CENTERVILLE RD",
            "address_2": "#118",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415914",
            "telephone_number": "214-766-1955",
            "fax_number": "972-808-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W CENTERVILLE RD",
            "address_2": "#118",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415914",
            "telephone_number": "214-766-1955",
            "fax_number": "972-808-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOUSECALL PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "OSUAGWU",
        "authorized_official_first_name": "CHUKWUMA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-766-1955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4412",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

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