Active NPI
Tandy Rice Freeman III, M.D.
- Specialist
- Dallas, TX
National Provider Identifier
1730137225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G8114
- Practice address
- 1015 N Carroll Ave
Suite 103
Dallas, TX 75204-6613 - Phone
- (469) 718-0900
- Fax
- (469) 802-8560
- NPI assigned
- May 5, 2006
- Last updated
- Jun 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G8114 | TX | Primary |
Addresses
Primary practice location
1015 N Carroll Ave
Suite 103
Dallas, TX 75204-6613
Mailing address
25 Highland Park VLG
Suite 100 Box 391
Dallas, TX 75205-2789
Phone (469) 718-0900
Other names 1
- Dr. Tandy Rice Freeman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G8114 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Interoperability endpoints
- tafreeman@direct.uspi.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1730137225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HIGHLAND PARK VLG",
"address_2": "SUITE 100 BOX 391",
"city": "DALLAS",
"state": "TX",
"postal_code": "752052789",
"telephone_number": "469-718-0900",
"fax_number": "469-802-8560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 N CARROLL AVE",
"address_2": "SUITE 103",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046613",
"telephone_number": "469-718-0900",
"fax_number": "469-802-8560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "TANDY",
"middle_name": "RICE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "G8114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TANDY",
"last_name": "FREEMAN",
"middle_name": "RICE",
"prefix": "DR.",
"credential": "M.D.,PA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.