Dallas Parkway Medical Clinic PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

M3666 Issued in TX

Legal business name

DALLAS PARKWAY MEDICAL CLINIC PA

Practice address

14444 Dallas Pkwy Ste 101
Dallas, TX 75254-8851

Phone

(714) 837-4549

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth C Nguyen, M.D.

Title

Ceo

Phone

(972) 385-6455

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dallas Parkway Medical Clinic Doing business as

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1770515371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14444 DALLAS PKWY STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548851",
            "telephone_number": "972-385-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14444 DALLAS PKWY STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548851",
            "telephone_number": "714-837-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS PARKWAY MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-385-6455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "M3666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A807510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Parkway Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dallas Otolaryngology Associates
• Dallas Oxygen Corporation
• Dallas Pain and Anesthesia Associates, P.a.
• Dallas Pain and Spine Institute
• Dallas Pain and Wellness, P.a.
• Dallas Parkway Pain Procedure Centers, LLC
• Dallas Pathology Laboratories, LLC
• Dallas Pediatric Neurology Assoc
• Dallas Pediatric Neurosurgery Specialists, PLLC
• Dallas Pediatrics and Children'S Healthcare, P.a.

• Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.