Organization Active NPI

Garduno Family Medicine, P.L.L.C.

  • Primary Care Clinic/Center
  • Plano, TX
National Provider Identifier
1699514950
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GARDUNO FAMILY MEDICINE, P.L.L.C.
Practice address
9925 Gillespie Dr Ste 1300
Plano, TX 75025-1100
Phone
(469) 871-0265
Fax
(469) 871-0266
NPI assigned
May 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Dr. Abel Garduno Jr., M.D.NPI 1336184787
Title
Physician/Owner
Phone
(469) 871-0265

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9925 Gillespie Dr Ste 1300
Plano, TX 75025-1100

Mailing address

9925 Gillespie Dr Ste 1300
Plano, TX 75025-1100
Phone (469) 871-0265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240604002257 TX Part B Supplier - Clinic/Group Practice 1456893627 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2306951Garduno Family Medicine, PLLC9925 Gillespie Drive Suite 1300, Plano, TX 75025Certificate of waiverJun 26, 2028

National Provider Directory

National Provider Directory

Locations

9925 Gillespie Dr
Ste 1300
Plano, TX 75025
Phone (469) 871-0265

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1699514950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 GILLESPIE DR STE 1300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251100",
            "telephone_number": "469-871-0265",
            "fax_number": "469-871-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 GILLESPIE DR STE 1300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251100",
            "telephone_number": "469-871-0265",
            "fax_number": "469-871-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDUNO FAMILY MEDICINE, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "GARDUNO",
        "authorized_official_first_name": "ABEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "469-871-0265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.