Las Colinas Primary Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAS COLINAS PRIMARY CARE PLLC

Practice address

215 S Denton Tap Rd
Suite 170
Coppell, TX 75019-3229

Phone

(972) 906-9130

NPI assigned

Jan 28, 2009

Organization subpart

No

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

Authorized official

Name

Jeff Henderson

Title

President

Phone

(972) 401-8726

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Charles Wayne Calvert, D.O.

  • Family Medicine Physician
  • Coppell, TX
  • NPI 1659592012
  NPD (past)

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1407094543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S DENTON TAP RD",
            "address_2": "SUITE 170",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193229",
            "telephone_number": "972-906-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S DENTON TAP RD",
            "address_2": "SUITE 170",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193229",
            "telephone_number": "972-906-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS COLINAS PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-401-8726"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202722901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lander, RN, BSN, IBCLC
• Andrew William Landry
• Alexander Lao, DPT
• Maricela Lara-Nevarez, PHARMD, RPH
• Ricky Lee Larson, D.D.S.
• Rhiannon Laumas
• Laura a Pels
• Lavene Counseling PLLC
• Kae Abigail Leal Scallan
• Peter V Lecca, DDS

• Family Medicine Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.