Organization Active NPI

Custer Medical Clinic PLLC

Doing business as Custer Family Clinic

  • Family Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1699284737
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127736 Issued in TX
Legal business name
CUSTER MEDICAL CLINIC PLLC
Doing business as
Custer Family Clinic
Practice address
8994 Tour Dr Ste 210
McKinney, TX 75070-2036
Phone
(972) 810-7070
NPI assigned
Sep 20, 2017
Last updated
Feb 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Bini Thomas, NPNPI 1780078105
Title
Partner
Phone
(972) 832-8784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP127736 TX Primary

Addresses

Primary practice location

8994 Tour Dr Ste 210
McKinney, TX 75070-2036

Mailing address

8994 Tour Dr Ste 210
McKinney, TX 75070-2036
Phone (972) 810-7070

Other names 1

  • CUSTER FAMILY CLINIC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address binithomas@custerfamilyclinic.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1699284737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8994 TOUR DR STE 210",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702036",
            "telephone_number": "972-810-7070",
            "fax_number": "972-810-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8994 TOUR DR STE 210",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702036",
            "telephone_number": "972-810-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTER MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BINI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "972-832-8784",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "binithomas@custerfamilyclinic.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "8994 Tour Dr Ste 210",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750702036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CUSTER FAMILY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.