Little Elm Medical Clinic PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

J6432 Issued in TX

Legal business name

LITTLE ELM MEDICAL CLINIC PA

Practice address

730 E Eldorado Pkwy
Little Elm, TX 75068-5444

Phone

(972) 292-3330

Fax

(214) 619-4697

NPI assigned

Oct 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Gerard Flores, M.D.NPI 1568449593

Title

Ceo

Phone

(972) 292-3330

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Little Elm Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Little Elm Medical Clinic PA

  • Internal Medicine Physician
  • Little Elm, TX
  • NPI 1194795310
  NPD tax ID

Practitioners 1

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

• John Gerard Flores, MD

  • Internal Medicine Physician
  • Little Elm, TX
  • NPI 1568449593
  NPD Authorized official

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1770867111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E ELDORADO PKWY",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685444",
            "telephone_number": "972-292-3330",
            "fax_number": "214-619-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E ELDORADO PKWY",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685444",
            "telephone_number": "972-292-3330",
            "fax_number": "214-619-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ELM MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-292-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "J6432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "8B1341",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "8131342",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Little Elm Dentistry and Orthodontics PC
• Little Elm Eye Care, P.a.
• Little Elm FM 423 Medical Center LLC
• Little Elm Independent School District
• Little Elm Medical Clinic PA
• Little Elm Orthopedic and Spine Rehab PC
• Little Elm Physical Rehab Center, LLC.
• Josh Longworth, LMT
• Brooklyn Lowe
• Madison Lowe, RDN,LD

• Clinic/Center in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.