Active NPI
Harish Muniswamy MD PA
- Primary Care Clinic/Center
- Coppell, TX
National Provider Identifier
1679962583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- N0300
- Legal business name
- HARISH MUNISWAMY MD PA
- Practice address
- 762 Chalais CT
Coppell, TX 75019-4589 - Phone
- (646) 894-0807
- NPI assigned
- Jan 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harish Muniswamy, MD
- Title
- President & Ceo
- Phone
- (646) 894-0807
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | N0300 | TX | Primary |
Addresses
Primary practice location
762 Chalais CT
Coppell, TX 75019-4589
Mailing address
762 Chalais CT
Coppell, TX 75019-4589
Phone (646) 894-0807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N0300 | Other | TX | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1205939337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421280000000",
"number": "1679962583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "762 CHALAIS CT",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194589",
"telephone_number": "646-894-0807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "762 CHALAIS CT",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194589",
"telephone_number": "646-894-0807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARISH MUNISWAMY MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-15",
"last_updated": "2015-01-15",
"status": "A",
"authorized_official_last_name": "MUNISWAMY",
"authorized_official_first_name": "HARISH",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "646-894-0807",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TX",
"license": "N0300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "N0300",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.