Active NPI
Epic Healthcare and Physical Medicine
- General Practice Physician
- Flower Mound, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- K0566
- Legal business name
- EPIC HEALTHCARE AND PHYSICAL MEDICINE
- Practice address
- 1681 Justin Rd
Suite 100
Flower Mound, TX 75028-4323 - Phone
- (972) 420-0083
- NPI assigned
- Jan 28, 2013
- Last updated
- Jan 28, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carlos Venegas, M.D.
- Title
- Owner
- Phone
- (214) 542-0321
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | K0566 | TX | Primary |
Addresses
Primary practice location
1681 Justin Rd
Suite 100
Flower Mound, TX 75028-4323
Mailing address
1681 Justin Rd
Suite 100
Flower Mound, TX 75028-4323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2179268 | Epic Healthcare & Physical Medicine, PA | Certificate of waiver | Feb 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
1681 Justin Rd
Ste 100
Flower Mound, TX 75028
Phone (972) 355-0083
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Flower Mound, TX
- NPI 1417600131
-
- Chiropractor
- Flower Mound, TX
- NPI 1467944736
-
- Chiropractor
- Flower Mound, TX
- NPI 1922059401
-
- Family Nurse Practitioner
- Lewisville, TX
- NPI 1922522119
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1770761009
-
- Family Nurse Practitioner
- McKinney, TX
- NPI 1700256658
-
- Rheumatology Physician
- Dallas, TX
- NPI 1013932151
-
- Specialist
- Dallas, TX
- NPI 1558385252
-
- Chiropractor
- Bulverde, TX
- NPI 1851637987
-
- Chiropractor
- Denton, TX
- NPI 1942395579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359331200000",
"number": "1518205483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1681 JUSTIN RD",
"address_2": "SUITE 100",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750284323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1681 JUSTIN RD",
"address_2": "SUITE 100",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750284323",
"telephone_number": "972-420-0083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPIC HEALTHCARE AND PHYSICAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-28",
"last_updated": "2013-01-28",
"status": "A",
"authorized_official_last_name": "VENEGAS",
"authorized_official_first_name": "CARLOS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-542-0321",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "K0566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.