Active NPI
Tenet Healthcare
- Primary Care Clinic/Center
- Allen, TX
National Provider Identifier
1407248982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 736323
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.