Texas Medical and Surgical Associates PA

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

TEXAS MEDICAL AND SURGICAL ASSOCIATES PA

Practice address

8440 Walnut Hill LN Ste 500
Dallas, TX 75231-3833

Phone

(214) 345-1400

Fax

(214) 345-1452

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Presley M Mock, M.D.NPI 1013963172

Title

President

Phone

(214) 345-1494

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Texas Medical Surgical Associates4 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.

• Texas Medical & Surgical Associates

  • Otolaryngology Physician
  • Dallas, TX
  • NPI 1053342964
  NPD tax ID
• Texas Medical & Surgical Associates

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1497785760
  NPD tax ID
• Texas Medical & Surgical Associates

  • Urology Physician
  • Dallas, TX
  • NPI 1609807494
  NPD tax ID

Locations

Practitioners 2

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

• Presley M. Mock, MD

  • Otolaryngology Physician
  • Dallas, TX
  • NPI 1013963172
  Medicare reassignment NPD Authorized official
• Yijun Fan, M.D.

  • Rheumatology Physician
  • Dallas, TX
  • NPI 1336161751
  Medicare reassignment NPD

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1447295910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313833",
            "telephone_number": "214-345-1400",
            "fax_number": "214-345-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313833",
            "telephone_number": "214-345-1400",
            "fax_number": "214-345-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MEDICAL AND SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "PRESLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-345-1494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Malone Healthcare, LLC
• Texas MDDX LLC
• Texas Medical & Surgical Associates
• Texas Medical & Surgical Associates
• Texas Medical & Surgical Associates
• Texas Medical Group, PA
• Texas Medical Specialty, Inc.
• Texas Medicine Resources LLP
• Texas Mental Health Consumers
• Texas Mobile Woundcare PLLC

• Rheumatology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.