Richardson Primarycare Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K0604 Issued in TX

Legal business name

RICHARDSON PRIMARYCARE CLINIC LLC

Practice address

2821 E President George Bush Hwy
Suite 301
Richardson, TX 75082-4266

Phone

(972) 437-9210

Fax

(972) 437-9240

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

Mohammad Amir, M.D.

Title

Owner

Phone

(972) 437-9210

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1871774786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY",
            "address_2": "SUITE 301",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824266",
            "telephone_number": "972-437-9210",
            "fax_number": "972-437-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY",
            "address_2": "SUITE 301",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824266",
            "telephone_number": "972-437-9210",
            "fax_number": "972-437-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON PRIMARYCARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "AMIR",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-437-9210",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K0604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0008MA",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170187201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Richardson Pediatric Associates
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• Richardson Physician Alliance
• Richardson Smiles PLLC
• Richardson Speech & Neuro Therapy PLLC
• Richardson Spine and Sports Therapy Center LLC
• Richardson TX Homecare LLC
• Richardson Vision & Contact Lens Clinic, PC

• Internal Medicine Physician in Richardson, TX
• Providers in Richardson, 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 Nov 19, 2014; 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.