NPIMap

Organization Active NPI

Independent Clinical Research LLC

  • Physical Medicine & Rehabilitation Physician
  • Lancaster, TX
National Provider Identifier
1831698976
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
INDEPENDENT CLINICAL RESEARCH LLC
Practice address
2600 W Pleasant Run Rd
Lancaster, TX 75146-1114
Phone
(972) 997-8000
Fax
(972) 437-9605
NPI assigned
Feb 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Authorized official

Name
Khalid Mahmood
Title
Admin
Phone
(214) 534-8460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2600 W Pleasant Run Rd
Lancaster, TX 75146-1114

Mailing address

PO Box 2281
Frisco, TX 75034-0042
Phone (972) 997-8000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1831698976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2281",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340042",
            "telephone_number": "972-997-8000",
            "fax_number": "888-770-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W PLEASANT RUN RD",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461114",
            "telephone_number": "972-997-8000",
            "fax_number": "972-437-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT CLINICAL RESEARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "214-534-8460"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.