Teaxas Medical Results, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

L1953 Issued in TX

Legal business name

TEAXAS MEDICAL RESULTS, LLC

Practice address

1708 Coit Rd Ste 150
Plano, TX 75075-6198

Phone

(214) 440-3007

Fax

(972) 608-0005

NPI assigned

Oct 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. William Daniel Nicholson IV, MD

Title

Sole Member

Phone

(972) 494-3100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1780134122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 DEMOCRACY DR STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244202",
            "telephone_number": "214-440-3007",
            "fax_number": "972-608-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 COIT RD STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756198",
            "telephone_number": "214-440-3007",
            "fax_number": "972-608-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAXAS MEDICAL RESULTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "972-494-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "L1953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Plano, TX
• Providers in Plano, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.