Organization Active NPI

PHCS III, Inc.

  • Clinical Medical Laboratory
  • Desoto, TX
National Provider Identifier
1851571806
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PHCS III, INC.
Practice address
1666 N Hampton Rd
Suite 103
Desoto, TX 75115-2390
Phone
(817) 263-7772
Fax
(817) 263-7773
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Mrs. Patricia A Henderson, R.N.
Title
Executive Director
Phone
(817) 263-7772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1666 N Hampton Rd
Suite 103
Desoto, TX 75115-2390

Mailing address

1666 N Hampton Rd
Suite 102
Desoto, TX 75115-2390
Phone (817) 263-7772

Other names 1

  • PREMIER SLEEP CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

6618 Bryant Irvin Rd
Ste 101
Fort Worth, TX 76132
Phone 81726377725

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1851571806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 N HAMPTON RD",
            "address_2": "SUITE 102",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152390",
            "telephone_number": "817-263-7772",
            "fax_number": "817-263-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 N HAMPTON RD",
            "address_2": "SUITE 103",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152390",
            "telephone_number": "817-263-7772",
            "fax_number": "817-263-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHCS III, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "817-263-7772",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER SLEEP CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Desoto, TX

Sources for this page

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