Organization Active NPI

Quantum-PD Functional Health and Wholeness Clinic PLLC

Doing business as Frisco Family Healthcare clinic

  • Primary Care Clinic/Center
  • Frisco, TX
National Provider Identifier
1447827324
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
QUANTUM-PD FUNCTIONAL HEALTH AND WHOLENESS CLINIC PLLC
Doing business as
Frisco Family Healthcare clinic
Practice address
9555 Lebanon Rd Ste 1003
Frisco, TX 75035-6088
Phone
(214) 872-1232
NPI assigned
Jun 8, 2021
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Mrs. Oyetokunbo Lemoru, FNPNPI 1780192203
Title
Owner
Phone
(214) 872-1232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

9555 Lebanon Rd Ste 1003
Frisco, TX 75035-6088

Mailing address

9555 Lebanon Rd Ste 1003
Frisco, TX 75035-6088
Phone (214) 872-1232

Other names 1

  • Frisco Family Healthcare clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2115852Frisco Family Healthcare Clinic9555 Lebanon Rd Suite 1003, Frisco, TX 75035Certificate of waiverJul 13, 2028

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1447827324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 LEBANON RD STE 1003",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356088",
            "telephone_number": "214-872-1232",
            "fax_number": "214-872-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 LEBANON RD STE 1003",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356088",
            "telephone_number": "214-872-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM-PD FUNCTIONAL HEALTH AND WHOLENESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "LEMORU",
        "authorized_official_first_name": "OYETOKUNBO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-872-1232",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frisco Family Healthcare clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.