NPIMap

Organization Active NPI

Buckner Family Medical Association, PA

Doing business as Patients Choice Family Medicine and Rehab

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1437106945
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BUCKNER FAMILY MEDICAL ASSOCIATION, PA
Doing business as
Patients Choice Family Medicine and Rehab
Practice address
4801 S Buckner Blvd
Suite 200
Dallas, TX 75227-2304
Phone
(214) 381-7700
Fax
(214) 381-7702
NPI assigned
May 28, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Michele C. Graham
Title
Credentialing Specialist
Phone
(972) 245-1315

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X TX Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X TX
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X TX

Addresses

Primary practice location

4801 S Buckner Blvd
Suite 200
Dallas, TX 75227-2304

Mailing address

4801 S Buckner Blvd
Suite 200
Dallas, TX 75227-2304
Phone (214) 381-7700

Other names 1

  • Patients Choice Family Medicine and Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

2420 E Randol Mill Rd
Ste 500
Arlington, TX 76011

4777 Vista Wood Blvd
Ste 180
Dallas, TX 75232
Phone (972) 780-8300

4801 S Buckner Blvd
Ste 200
Dallas, TX 75227
Phone (214) 381-7700

4801 S Buckner Blvd
Ste 300
Dallas, TX 75227
Phone (972) 884-5991

1200 W Seminary Dr
Ste 112
Fort Worth, TX 76115

8703 Bedford Euless Rd
Ste 100
Hurst, TX 76053

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1437106945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S BUCKNER BLVD",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752272304",
            "telephone_number": "214-381-7700",
            "fax_number": "214-381-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S BUCKNER BLVD",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752272304",
            "telephone_number": "214-381-7700",
            "fax_number": "214-381-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKNER FAMILY MEDICAL ASSOCIATION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "972-245-1315"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patients Choice Family Medicine and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.