Texas Premier Independent Physician Management, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TEXAS PREMIER INDEPENDENT PHYSICIAN MANAGEMENT, LLC

Practice address

2871 Lake Vista Dr
Suite 210
Lewisville, TX 75067

Phone

(940) 442-5209

Fax

(940) 222-2720

NPI assigned

Feb 28, 2017

Organization subpart

No

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

Authorized official

Name

Carol Nguyen

Title

Coo

Phone

(940) 442-5209

Specialties & licenses 1

Addresses

Other names 1

• Premier Independent Physicians Doing business as

Locations

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1861932592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2871 LAKE VISTA DR",
            "address_2": "SUITE 210",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75067",
            "telephone_number": "940-442-5209",
            "fax_number": "940-222-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2871 LAKE VISTA DR",
            "address_2": "SUITE 210",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75067",
            "telephone_number": "940-442-5209",
            "fax_number": "940-222-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PREMIER INDEPENDENT PHYSICIAN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "940-442-5209"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Independent Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Independent Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.