Organization Active NPI

Prime Integrated Health Clinics LLC

  • Family Medicine Physician
  • Carrollton, TX
National Provider Identifier
1407470222
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIME INTEGRATED HEALTH CLINICS LLC
Practice address
1930 E Rosemeade Pkwy Ste 106
Carrollton, TX 75007-2467
Phone
(214) 666-6651
NPI assigned
Jun 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Farzad Marzban, DCNPI 1891193058
Title
Manager
Phone
(972) 765-5676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1930 E Rosemeade Pkwy Ste 106
Carrollton, TX 75007-2467

Mailing address

1930 E Rosemeade Pkwy Ste 106
Carrollton, TX 75007-2467
Phone (214) 666-6651

National Provider Directory

National Provider Directory

Locations

1930 E Rosemeade Pkwy
Ste 106
Carrollton, TX 75007
Phone (214) 666-6651

1930 E Rosemeade Pkwy
Ste 104
Carrollton, TX 75007
Phone (214) 666-6651

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1407470222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 E ROSEMEADE PKWY STE 106",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072467",
            "telephone_number": "214-666-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E ROSEMEADE PKWY STE 106",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072467",
            "telephone_number": "214-666-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME INTEGRATED HEALTH CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2023-09-06",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "MARZBAN",
        "authorized_official_first_name": "FARZAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-765-5676",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.