Organization Active NPI

Expedian Family Care, PA

  • Family Medicine Physician
  • Mansfield, TX
National Provider Identifier
1497134605
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EXPEDIAN FAMILY CARE, PA
Practice address
980 N Walnut Creek Dr
Suite 100
Mansfield, TX 76063-8019
Phone
(817) 473-9473
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Minh Nguyen, D.O.
Title
President
Phone
(817) 473-9473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

980 N Walnut Creek Dr
Suite 100
Mansfield, TX 76063-8019

Mailing address

980 N Walnut Creek Dr
Suite 100
Mansfield, TX 76063-8019
Phone (817) 473-9473

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1497134605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N WALNUT CREEK DR",
            "address_2": "SUITE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638019",
            "telephone_number": "817-473-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N WALNUT CREEK DR",
            "address_2": "SUITE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638019",
            "telephone_number": "817-473-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPEDIAN FAMILY CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-473-9473",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.