Organization Active NPI

Zoemed Health Care PLLC

  • Family Medicine Physician
  • Grapevine, TX
National Provider Identifier
1629430962
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L5513 Issued in TX
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

Updated by the provider on May 31, 2016

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.