Medical Family Circle, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M9721 Issued in TX

Legal business name

MEDICAL FAMILY CIRCLE, PLLC

Practice address

992 E US Highway 80
Suite C
Forney, TX 75126-8709

Phone

(972) 552-2920

Fax

(972) 552-2930

NPI assigned

Dec 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Carol K Villanueva, D.O.

Title

President

Phone

(972) 869-3789

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1861721045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 E US HIGHWAY 80",
            "address_2": "SUITE C",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268709",
            "telephone_number": "972-552-2920",
            "fax_number": "972-552-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 E US HIGHWAY 80",
            "address_2": "SUITE C",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268709",
            "telephone_number": "972-552-2920",
            "fax_number": "972-552-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FAMILY CIRCLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-869-3789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9721",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M9721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216732201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Forney, TX
• Providers in Forney, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.