NPIMap

Organization Active NPI

Canadian Family Physicians, PLLC

  • Case Manager/Care Coordinator
  • Canadian, TX
National Provider Identifier
1689806523
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
L7695 Issued in TX
Legal business name
CANADIAN FAMILY PHYSICIANS, PLLC
Practice address
1025 S 3Rd St
Canadian, TX 79014-3047
Phone
(806) 323-8882
Fax
(806) 323-6108
NPI assigned
Aug 11, 2009
Last updated
Aug 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
George Anthony Cookl, MD
Title
Partner
Phone
(806) 323-8882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X L7695 TX Primary

Addresses

Primary practice location

1025 S 3Rd St
Canadian, TX 79014-3047

Mailing address

1025 S 3Rd St
Canadian, TX 79014-3047
Phone (806) 323-8882

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAIAAA

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1689806523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S 3RD ST",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "790143047",
            "telephone_number": "806-323-8882",
            "fax_number": "806-323-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S 3RD ST",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "790143047",
            "telephone_number": "806-323-8882",
            "fax_number": "806-323-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANADIAN FAMILY PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "COOKL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "806-323-8882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "L7695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canadian, TX

Sources for this page

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