Central Texas Medical Services PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

N0664 Issued in TX

Legal business name

CENTRAL TEXAS MEDICAL SERVICES PLLC

Practice address

7227 Cana
Grand Prairie, TX 75054-6860

Phone

(214) 870-8133

Fax

(817) 592-3025

NPI assigned

Feb 4, 2012

Organization subpart

No

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

Authorized official

Name

Deandre Brown, MD

Title

Member

Phone

(214) 870-8133

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1328313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328313600000",
    "number": "1891067914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543539",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750543539",
            "telephone_number": "214-870-8133",
            "fax_number": "817-592-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 CANA",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546860",
            "telephone_number": "214-870-8133",
            "fax_number": "817-592-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-04",
        "last_updated": "2012-02-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEANDRE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "214-870-8133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "N0664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "N0664",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2012; 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.