Organization Active NPI

Hemorrhoid Care Clinic of Texas

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1821246182
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E7182 Issued in TX
Legal business name
HEMORRHOID CARE CLINIC OF TEXAS
Practice address
4230 LBJ Fwy
Suite 308
Dallas, TX 75244-5806
Phone
(866) 994-2289
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Cece J Pannell
Title
Office Manager
Phone
(817) 294-7444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X E7182 TX Primary

Addresses

Primary practice location

4230 LBJ Fwy
Suite 308
Dallas, TX 75244-5806

Mailing address

PO Box 2626
Fort Worth, TX 76113-2626
Phone (817) 294-7444

Other identifiers 2

IdentifierTypeStateIssuer
0004MPOtherTXBCBSTX
174681001MedicaidTX

National Provider Directory

National Provider Directory

Locations

4230 LBJ
Ste 308
Dallas, TX 75244
Phone (866) 994-2289

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1821246182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2626",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761132626",
            "telephone_number": "817-294-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 LBJ FWY",
            "address_2": "SUITE 308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445806",
            "telephone_number": "866-994-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMORRHOID CARE CLINIC OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "PANNELL",
        "authorized_official_first_name": "CECE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-294-7444"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E7182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0004MP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174681001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 28, 2008; 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.