Frisco Medical Surgical Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

F9213 Issued in TX

Legal business name

FRISCO MEDICAL SURGICAL CLINIC

Practice address

8680 W Main St
1W
Frisco, TX 75034-3096

Phone

(972) 377-2447

Fax

(972) 377-3006

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Vicki Blackmon Davis, M.D

Title

Owner

Phone

(972) 377-2447

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1477740231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 W MAIN ST",
            "address_2": "1W",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343096",
            "telephone_number": "972-377-2447",
            "fax_number": "972-377-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 W MAIN ST",
            "address_2": "1W",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343096",
            "telephone_number": "972-377-2447",
            "fax_number": "972-377-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRISCO MEDICAL SURGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "BLACKMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-377-2447",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F9213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.