Organization Active NPI

Paris Lakes Health Group Inc

  • Family Medicine Physician
  • Paris, TX
National Provider Identifier
1871019828
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
393243601MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.