Active NPI
Zoemed Health Care PLLC
- Family Medicine Physician
- Grapevine, TX
National Provider Identifier
1629430962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L5513
- Legal business name
- ZOEMED HEALTH CARE PLLC
- Practice address
- 4100 Heritage Ave
Suite106
Grapevine, TX 76051-5714 - Phone
- (817) 283-1112
- Fax
- (817) 282-1116
- NPI assigned
- Mar 25, 2016
- 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
- Priya Mathew Philip, MD
- Title
- Owner
- Phone
- (214) 616-1967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L5513 | TX | Primary |
Addresses
Primary practice location
4100 Heritage Ave
Suite106
Grapevine, TX 76051-5714
Mailing address
5205 Topaz CT
Flower Mound, TX 75022-8143
Phone (214) 616-1967
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464652800000",
"number": "1629430962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 TOPAZ CT",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750228143",
"telephone_number": "214-616-1967",
"fax_number": "866-612-6169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 HERITAGE AVE",
"address_2": "SUITE106",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760515714",
"telephone_number": "817-283-1112",
"fax_number": "817-282-1116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZOEMED HEALTH CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-25",
"last_updated": "2016-05-31",
"status": "A",
"authorized_official_last_name": "PHILIP",
"authorized_official_first_name": "PRIYA",
"authorized_official_middle_name": "MATHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-616-1967",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "L5513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.