Texas Antiaging Medicine Institute

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

TEXAS ANTIAGING MEDICINE INSTITUTE

Practice address

13701 Dallas Pkwy
Dallas, TX 75240-4335

Phone

(214) 235-5967

NPI assigned

Feb 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Hong Davis, M.D.

Title

Owner

Phone

(972) 867-5888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1871890541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 STONEWOOD DR STE 202",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245281",
            "telephone_number": "972-867-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404335",
            "telephone_number": "214-235-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ANTIAGING MEDICINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-867-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Educator in Dallas, TX
• Providers in Dallas, TX by specialty
• Health Educator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.