Pappas Medical Clinic PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PAPPAS MEDICAL CLINIC PA

Practice address

4110 Richmond PL
Texarkana, TX 75503-0001

Phone

(903) 831-6312

Fax

(903) 838-3613

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Puifun Lila Pappas, MD

Title

Owner

Phone

(903) 831-6312

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

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

• Paul H Pappas, MD

  • Family Medicine Physician
  • Bryan, TX
  • NPI 1356329825
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1689619132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 RICHMOND PL",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030001",
            "telephone_number": "903-831-6312",
            "fax_number": "903-838-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 RICHMOND PL",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030001",
            "telephone_number": "903-831-6312",
            "fax_number": "903-838-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPPAS MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "PUIFUN",
        "authorized_official_middle_name": "LILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-831-6312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165546601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154345002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "9R062",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0050LE",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC2163",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palliative Connections of Texas Inc
• Pallicare Health, PLLC
• Pallicare, Inc
• Pam Squared at Texarkana, LLC
• Pam Squared at Texarkana, LLC
• Rosamma G Parangimalil, NP
• Mukti Parbhoo, MD
• Stephen R Parish, MD
• Colton Parker, HIS
• Virginia Ann Parker, FNP

• Family Medicine Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.