Active NPI
Paris Lakes Health Group Inc
- Family Medicine Physician
- Paris, TX
National Provider Identifier
1871019828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PARIS LAKES HEALTH GROUP INC
- Practice address
- 2675 41St St SE Ste 102
Paris, TX 75462-8209 - Phone
- (903) 739-7700
- NPI assigned
- Aug 21, 2017
- Last updated
- Mar 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Williams
- Title
- Practice Manager
- Phone
- (903) 609-1065
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
2675 41St St SE Ste 102
Paris, TX 75462-8209
Mailing address
9475 Briar Village PT Ste 220
Colorado Springs, CO 80920-7908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 393243601 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
9475 Briar Village Pt
Ste 220
Colorado Springs, CO 80920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551830400000",
"number": "1871019828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9475 BRIAR VILLAGE PT STE 220",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 41ST ST SE STE 102",
"city": "PARIS",
"state": "TX",
"postal_code": "754628209",
"telephone_number": "903-739-7700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARIS LAKES HEALTH GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-21",
"last_updated": "2019-03-06",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "903-609-1065"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "393243601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.