Organization Active NPI

Tenet Healthcare

  • Primary Care Clinic/Center
  • Allen, TX
National Provider Identifier
1407248982
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
736323 Issued in TX
Legal business name
TENET HEALTHCARE
Practice address
613 Rockcrossing LN
Allen, TX 75002-5263
Phone
(214) 607-8456
Fax
(972) 727-5440
NPI assigned
Feb 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Bonnie Angel
Title
Named Administrator
Phone
(469) 893-6538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 736323 TX Primary

Addresses

Primary practice location

613 Rockcrossing LN
Allen, TX 75002-5263

Mailing address

613 Rockcrossing LN
Allen, TX 75002-5263
Phone (214) 607-8456

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1407248982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 ROCKCROSSING LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750025263",
            "telephone_number": "214-607-8456",
            "fax_number": "972-727-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ROCKCROSSING LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750025263",
            "telephone_number": "214-607-8456",
            "fax_number": "972-727-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENET HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "ANGEL",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "NAMED ADMINISTRATOR",
        "authorized_official_telephone_number": "469-893-6538"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "736323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.