NPIMap

Organization Active NPI

Comprehensive Medical Clinic, a Professional Medical Corporation

  • Internal Medicine Physician
  • Wylie, TX
National Provider Identifier
1659564987
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201538 Issued in LA
Legal business name
COMPREHENSIVE MEDICAL CLINIC, A PROFESSIONAL MEDICAL CORPORATION
Practice address
2300 W FM 544 Ste 290
Wylie, TX 75098-4931
Phone
(469) 626-0201
Fax
(469) 626-0205
NPI assigned
Aug 21, 2007
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Dr. Nauman Qureshi, MDNPI 1578577177
Title
Owner/MD
Phone
(337) 304-8915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 201538 LA Primary

Addresses

Primary practice location

2300 W FM 544 Ste 290
Wylie, TX 75098-4931

Mailing address

2300 W FM 544 Ste 290
Wylie, TX 75098-4931
Phone (696) 260-2014

National Provider Directory

National Provider Directory

Locations

333 Dr Michael Debakey Dr
Ste 250
Lake Charles, LA 70601
Phone (337) 721-9992

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1659564987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W FM 544 STE 290",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984931",
            "telephone_number": "696-260-2014",
            "fax_number": "469-626-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W FM 544 STE 290",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984931",
            "telephone_number": "469-626-0201",
            "fax_number": "469-626-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL CLINIC, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "NAUMAN",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "337-304-8915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "201538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.