NPIMap

Organization Active NPI

Medical Clinic of North Texas, P.a.

  • Primary Care Clinic/Center
  • Denton, TX
National Provider Identifier
1407968316
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
M2590 Issued in TX
Legal business name
MEDICAL CLINIC OF NORTH TEXAS, P.A.
Practice address
2501 Scripture St
Suite 200
Denton, TX 76201-2313
Phone
(940) 591-6600
Fax
(940) 591-6600
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Pamela Kinney Coutant, M.B.A.
Title
Administrative Assistant
Phone
(817) 514-5258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X M2590 TX Primary

Addresses

Primary practice location

2501 Scripture St
Suite 200
Denton, TX 76201-2313

Mailing address

9003 Airport Fwy
Suite 300
North Richland Hills, TX 76180-7770
Phone (817) 514-5200

Other identifiers 1

IdentifierTypeStateIssuer
X0143042OtherTXTEXAS D.P.S. NUMBER

National Provider Directory

National Provider Directory
Tax ID family
J Paul Sanders4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407968316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9003 AIRPORT FWY",
            "address_2": "SUITE 300",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807770",
            "telephone_number": "817-514-5200",
            "fax_number": "817-514-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SCRIPTURE ST",
            "address_2": "SUITE 200",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012313",
            "telephone_number": "940-591-6600",
            "fax_number": "940-591-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CLINIC OF NORTH TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COUTANT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "KINNEY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "817-514-5258",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M2590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS D.P.S. NUMBER",
            "identifier": "X0143042",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.