Organization Active NPI

Premier Care Physician

  • Adolescent Medicine (Internal Medicine) Physician
  • Mesquite, TX
National Provider Identifier
1457488231
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
N7885 Issued in TX
Legal business name
PREMIER CARE PHYSICIAN
Practice address
820 E Cartwright Rd Ste 100
Mesquite, TX 75149-6063
Phone
(214) 320-7600
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Dr. Frederick Gutierrez Tinio, M.D.
Title
Physician
Phone
(214) 320-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0000X N7885 TX Primary

Addresses

Primary practice location

820 E Cartwright Rd Ste 100
Mesquite, TX 75149-6063

Mailing address

820 E Cartwright Rd Ste 100
Mesquite, TX 75149-6063
Phone (214) 320-7600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1457488231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E CARTWRIGHT RD STE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496063",
            "telephone_number": "214-320-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E CARTWRIGHT RD STE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496063",
            "telephone_number": "214-320-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE PHYSICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "TINIO",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "GUTIERREZ",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-320-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "N7885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.