Coppell Family Medical Center, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COPPELL FAMILY MEDICAL CENTER, P.A.

Practice address

580 S Denton Tap Rd
#123
Coppell, TX 75019-4098

Phone

(972) 462-0762

Fax

(972) 393-2133

NPI assigned

Nov 8, 2005

Organization subpart

No

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

Authorized official

Name

Jay C Story, MD

Title

President Physician

Phone

(972) 462-0762

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649251620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 S DENTON TAP RD",
            "address_2": "#123",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194098",
            "telephone_number": "972-462-0762",
            "fax_number": "972-393-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S DENTON TAP RD",
            "address_2": "#123",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194098",
            "telephone_number": "972-462-0762",
            "fax_number": "972-393-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPELL FAMILY MEDICAL CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STORY",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "972-462-0762",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coppell Family Therapy PC
• Coppell Family Therapy PLLC
• Coppell Independent School District
• Coppell Minor Emergency Center P.a. (Charles J. O'Hearn, M.D., P.A.)
• Coppell Modern Dentistry, PC (Coppell Modern Dentistry)

• Family Medicine Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Family Medicine Physician in Texas

• 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.