Phycare Services Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G37993 Issued in TX

Legal business name

PHYCARE SERVICES INC

Practice address

2201 Main St
1225
Dallas, TX 75201-4327

Phone

(817) 526-2882

NPI assigned

Jan 31, 2014

Organization subpart

No

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

Authorized official

Name

Roosevelt Gilmore I

Title

Chief Executive Officer

Phone

(817) 526-2882

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1487077111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MAIN ST",
            "address_2": "1225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MAIN ST",
            "address_2": "1225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014327",
            "telephone_number": "817-526-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "ROOSEVELT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "817-526-2882",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "G37993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Phoneprasert
• PHR Diagnostics, LLC
• Jennifer Tracy Phu, DDS
• Tri Minh Phung, MD
• Phuong T. Nguyen, O.D., PLLC
• Physiatry Associates of Texas PLLC
• Physicain Geriatric Services PA
• Physician Anesthesiology Services, PA
• Physician Assistant Services of Texas L.L.P
• Physician Associates of Southwest Dallas

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.