Organization Active NPI

Texas Comprehensive Healthcare Services, PLLC

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1861753733
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M4104 Issued in TX
Legal business name
TEXAS COMPREHENSIVE HEALTHCARE SERVICES, PLLC
Practice address
5550 LBJ Fwy, Ste 150
Dallas, TX 75240-6217
Phone
(972) 596-3018
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Authorized official

Name
Victor Gonzalez, MD
Title
Member
Phone
(972) 596-3018

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X M4104 TX Primary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X PA07507 TX

Addresses

Primary practice location

5550 LBJ Fwy, Ste 150
Dallas, TX 75240-6217

Mailing address

PO Box 260516
Plano, TX 75026-0516
Phone (972) 596-3018

Other identifiers 2

IdentifierTypeStateIssuer
M4104OtherTXTEXAS
PA07507OtherTXTEXAS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1861753733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260516",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750260516",
            "telephone_number": "972-596-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 LBJ FWY, STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406217",
            "telephone_number": "972-596-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS COMPREHENSIVE HEALTHCARE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "972-596-3018",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "M4104",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA07507",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS",
            "identifier": "M4104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS",
            "identifier": "PA07507",
            "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 Jun 8, 2012; 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.