Organization Active NPI

Collin County Doctors, PLLC

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1679057392
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COLLIN COUNTY DOCTORS, PLLC
Practice address
4760 Preston Rd Ste 244-305
Frisco, TX 75034-8548
Phone
(832) 413-1146
Fax
(972) 428-3629
NPI assigned
Sep 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Juan Antonio Contreras, MDNPI 1639373749
Title
Physician
Phone
(409) 789-2866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4760 Preston Rd Ste 244-305
Frisco, TX 75034-8548

Mailing address

4760 Preston Rd Ste 244-305
Frisco, TX 75034-8548
Phone (832) 413-1146

Other identifiers 1

IdentifierTypeStateIssuer
1639373749OtherTXNPI

National Provider Directory

National Provider Directory

Locations

4760 Preston Rd
Ste 244305
Frisco, TX 75034
Phone (832) 413-1146

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1679057392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 PRESTON RD STE 244-305",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348548",
            "telephone_number": "832-413-1146",
            "fax_number": "972-428-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 PRESTON RD STE 244-305",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348548",
            "telephone_number": "832-413-1146",
            "fax_number": "972-428-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIN COUNTY DOCTORS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "409-789-2866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639373749",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.