Organization Active NPI

Healthplace

  • Family Medicine Physician
  • Lewisville, TX
National Provider Identifier
1538360763
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K07040 Issued in TX
Legal business name
HEALTHPLACE
Practice address
403 W Main St
Suite B
Lewisville, TX 75057-3757
Phone
(972) 436-1811
NPI assigned
May 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elizabeth O Falola, MD
Title
President
Phone
(972) 436-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K07040 TX Primary

Addresses

Primary practice location

403 W Main St
Suite B
Lewisville, TX 75057-3757

Mailing address

403 W Main St
Suite B
Lewisville, TX 75057-3757
Phone (972) 436-1811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538360763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W MAIN ST",
            "address_2": "SUITE B",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573757",
            "telephone_number": "972-436-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W MAIN ST",
            "address_2": "SUITE B",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573757",
            "telephone_number": "972-436-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FALOLA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-436-1811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K07040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.