Farmers Branch Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FARMERS BRANCH PRIMARY CARE LLC

Practice address

13000 Josey Lane Ste 100
Farmers Branch, TX 75234

Phone

(972) 784-0961

NPI assigned

Mar 27, 2018

Organization subpart

No

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

Authorized official

Name

Kerry Apple

Title

Credentialing

Phone

(817) 917-1307

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Pedro Daniel Gonzalez, M.D.

  • Family Medicine Physician
  • Azle, TX
  • NPI 1609846682
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1821593385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 BAILEY AVE STE 330",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072159",
            "telephone_number": "817-945-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 JOSEY LANE STE 100",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "75234",
            "telephone_number": "972-784-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMERS BRANCH PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "APPLE",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "817-917-1307"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa Fitts, M.ED., BCBA
• Rodney Jerome Fleming II

• Family Medicine Physician in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.