Organization Active NPI

Albert H. Quan, MD PA

  • Pediatric Nephrology Physician
  • Dallas, TX
National Provider Identifier
1659580751
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
Legal business name
ALBERT H. QUAN, MD PA
Practice address
7777 Forest LN
Suite A311
Dallas, TX 75230-2505
Phone
(972) 566-7885
Fax
(972) 566-3919
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Dr. Albert H. Quan, MD
Title
President
Phone
(972) 566-7885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0210X Primary

Addresses

Primary practice location

7777 Forest LN
Suite A311
Dallas, TX 75230-2505

Mailing address

7777 Forest LN
Suite A311
Dallas, TX 75230-2505
Phone (972) 566-7885

Other identifiers 1

IdentifierTypeStateIssuer
181676101MedicaidTX

National Provider Directory

National Provider Directory

Locations

7777 Forest Ln
Ste A311
Dallas, TX 75230
Phone (972) 566-7505

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1659580751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE A311",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-7885",
            "fax_number": "972-566-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE A311",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-7885",
            "fax_number": "972-566-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT H. QUAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "QUAN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-566-7885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181676101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.