Your Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

532229 Issued in TX

Legal business name

YOUR CLINIC

Practice address

1141 Kinwest Pkwy
Suite 100
Irving, TX 75063-3511

Phone

(214) 239-2222

Fax

(214) 239-2223

NPI assigned

May 22, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Miladys A Friesen, FNP-BC

Title

FNP

Phone

(214) 239-2222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1274486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274486400000",
    "number": "1386963965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 KINWEST PKWY",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633511",
            "telephone_number": "214-239-2222",
            "fax_number": "214-239-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 KINWEST PKWY",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633511",
            "telephone_number": "214-239-2222",
            "fax_number": "214-239-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-22",
        "last_updated": "2010-05-22",
        "status": "A",
        "authorized_official_last_name": "FRIESEN",
        "authorized_official_first_name": "MILADYS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "214-239-2222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "532229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Eady Young, FNP-BC
• John David Young, M.D.
• Samantha Tory Young, DMD
• Tawanna Nicole Young, CRNP
• Basil A Younis, MD
• Your Sleep Solution Center
• Aisheh Nihad Yousef, COTA/L
• Mohamed Hassan Anwar Youssef, MD
• Jeneba Yovonie
• Martin Yu, DDS

• Primary Care Clinic/Center in Irving, TX
• Providers in Irving, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2010; 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.