NPIMap

Organization Active NPI

Alliance Physician Management LLC

  • Clinic/Center
  • Irving, TX
National Provider Identifier
1679964266
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ALLIANCE PHYSICIAN MANAGEMENT LLC
Practice address
4600 Fuller Dr
#275
Irving, TX 75038-6551
Phone
(214) 435-0470
NPI assigned
Feb 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Justin Luke Magnuson
Title
C.E.O
Phone
(469) 995-8416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4600 Fuller Dr
#275
Irving, TX 75038-6551

Mailing address

4545 Fuller Dr Ste 100
Irving, TX 75038-6509
Phone (469) 995-8416

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1679964266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 FULLER DR STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386509",
            "telephone_number": "469-995-8416",
            "fax_number": "866-279-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 FULLER DR",
            "address_2": "#275",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386551",
            "telephone_number": "214-435-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PHYSICIAN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "MAGNUSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "469-995-8416"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.