Organization Active NPI

PHC & Associates, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1457394629
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0085720 Issued in TX
Legal business name
PHC & ASSOCIATES, INC.
Practice address
11601 Plano Rd Ste 107
Dallas, TX 75243-5244
Phone
(214) 265-7810
Fax
(214) 265-7817
NPI assigned
Jun 14, 2006
Last updated
Mar 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Ms. Marilyn O'Rourke
Title
President
Phone
(214) 265-7810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0085720 TX Primary

Addresses

Primary practice location

11601 Plano Rd Ste 107
Dallas, TX 75243-5244

Mailing address

11601 Plano Rd Ste 107
Dallas, TX 75243-5244
Phone (214) 265-7810

Other identifiers 3

IdentifierTypeStateIssuer
167157001MedicaidTX
0000531745OtherTXBLUE CROSS BLUE SHIELD
016900501MedicaidTX

National Provider Directory

National Provider Directory

Locations

11601 Plano Rd
Ste 107
Dallas, TX 75243
Phone (214) 265-7810

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1457394629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 PLANO RD STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435244",
            "telephone_number": "214-265-7810",
            "fax_number": "214-265-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 PLANO RD STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435244",
            "telephone_number": "214-265-7810",
            "fax_number": "214-265-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "O'ROURKE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-265-7810",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0085720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167157001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000531745",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016900501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 13, 2009; 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.