Patrick Kwan M D P a

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

G2415 Issued in TX

Legal business name

PATRICK KWAN M D P A

Practice address

801 N Grand Ave
Ste 4
Gainesville, TX 76240-3574

Phone

(940) 665-0683

Fax

(940) 668-2663

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Patrick K Kwan, M. D.

Title

Owner

Phone

(940) 665-0683

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• RED RIVER MEDICAL CENTER Doing business as

Locations

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1497868293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N GRAND AVE",
            "address_2": "STE 4",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762403574",
            "telephone_number": "940-665-0683",
            "fax_number": "940-668-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N GRAND AVE",
            "address_2": "STE 4",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762403574",
            "telephone_number": "940-665-0683",
            "fax_number": "940-668-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK KWAN M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-665-0683",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "G2415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0050PU",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063665601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP SUPERIOR",
            "identifier": "106022",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RED RIVER MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kimberly Parrott
• Brij Patel
• Amy Sue Patrick-Ott, LPCS
• Shannon L Patrick, MSCCCSLP
• Peak Physical Therapy, LLC
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• Pecan Tree SCC, LLC

• Rural Health Clinic/Center in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.