Organization Active NPI

Flower Mound Medical Center, LLC

Doing business as Flower Mound Family Health Center

  • Family Medicine Physician
  • Flower Mound, TX
National Provider Identifier
1740476985
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J5896 Issued in TX
Legal business name
FLOWER MOUND MEDICAL CENTER, LLC
Doing business as
Flower Mound Family Health Center
Practice address
2261 Olympia Dr
Flower Mound, TX 75028-1857
Phone
(972) 691-8585
Fax
(972) 691-8686
NPI assigned
Sep 21, 2007
Last updated
Apr 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Dr. Roya Seysan, M.D.NPI 1174541999
Title
Physician
Phone
(972) 691-8585

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X J5896 TX
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X J5896 TX Primary

Addresses

Primary practice location

2261 Olympia Dr
Flower Mound, TX 75028-1857

Mailing address

2261 Olympia Dr
Suite 100
Flower Mound, TX 75028-1857
Phone (972) 691-8585

Other names 1

  • Flower Mound Family Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080812000740 TX Part B Supplier - Clinic/Group Practice 6103991054 Receives reassigned benefits from 1 practitioner
Practice locations: Flower Mound, 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
45D0960142Flower Mound Medical Center2261 Olympia Suite 100, Flower Mound, TX 75028Certificate of waiverApr 29, 2027

National Provider Directory

National Provider Directory

Locations

2261 Olympia Dr
Flower Mound, TX 75028
Phone (972) 691-8585

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": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1740476985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 OLYMPIA DR",
            "address_2": "SUITE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281857",
            "telephone_number": "972-691-8585",
            "fax_number": "972-691-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 OLYMPIA DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281857",
            "telephone_number": "972-691-8585",
            "fax_number": "972-691-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOWER MOUND MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "SEYSAN",
        "authorized_official_first_name": "ROYA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-691-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J5896",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flower Mound Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.