NPIMap

Organization Active NPI

CHS Texas Medical, P.a.

Doing business as Well At Dell Health Center Plano

  • General Practice Physician
  • Plano, TX
National Provider Identifier
1891091260
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CHS TEXAS MEDICAL, P.A.
Doing business as
Well At Dell Health Center Plano
Practice address
2300 W Plano Pkwy
Plano, TX 75075-8427
Phone
(972) 577-5316
NPI assigned
Feb 2, 2011
Last updated
Sep 22, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CHS HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Stuart Clark
Title
Executive VP
Phone
(615) 577-4927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

2300 W Plano Pkwy
Plano, TX 75075-8427

Mailing address

5500 Maryland Way
Ste 200
Brentwood, TN 37027-4948

Other names 1

  • Well At Dell Health Center Plano Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CHS Texas Medical PA10 organizations share this tax ID, including this one
Part of
Google Wellness Center B48

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2300 W Plano Pkwy
Plano, TX 75075
Phone (972) 295-5200

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1891091260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY",
            "address_2": "STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758427",
            "telephone_number": "972-577-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS TEXAS MEDICAL, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHS HEALTH SERVICES, LLC",
        "enumeration_date": "2011-02-02",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "615-577-4927"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well At Dell Health Center Plano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.