Continued Care Partners PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N2137 Issued in TX

Legal business name

CONTINUED CARE PARTNERS PA

Practice address

3100 Carlisle St
Suite 2112
Dallas, TX 75204-1358

Phone

(469) 930-4305

Fax

(469) 930-4311

NPI assigned

Aug 17, 2015

Organization subpart

No

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

Authorized official

Name

Ty Burgess

Title

Authorized Official

Phone

(469) 930-4305

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1679949424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CARLISLE ST",
            "address_2": "SUITE 2112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041358",
            "telephone_number": "469-930-4305",
            "fax_number": "469-930-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CARLISLE ST",
            "address_2": "SUITE 2112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041358",
            "telephone_number": "469-930-4305",
            "fax_number": "469-930-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUED CARE PARTNERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "469-930-4305"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N2137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.