Biosky Medical Clinic, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

E7288 Issued in TX

Legal business name

BIOSKY MEDICAL CLINIC, INC

Practice address

1927 E Belt Line Rd
Suite 146
Carrollton, TX 75006-5821

Phone

(972) 820-6660

Fax

(972) 820-6631

NPI assigned

Sep 16, 2010

Last updated

Sep 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suraphandhu Srivathanakul, M.D., F. A. A. P.

Title

Ceo

Phone

(972) 820-6660

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1538477146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 E BELT LINE RD",
            "address_2": "SUITE 146",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065821",
            "telephone_number": "972-820-6660",
            "fax_number": "972-820-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 E BELT LINE RD",
            "address_2": "SUITE 146",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065821",
            "telephone_number": "972-820-6660",
            "fax_number": "972-820-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOSKY MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "SRIVATHANAKUL",
        "authorized_official_first_name": "SURAPHANDHU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-820-6660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F. A. A. P."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E7288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.