Texas Premier Infectious Disease Consultants, PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

P4819 Issued in TX

Legal business name

TEXAS PREMIER INFECTIOUS DISEASE CONSULTANTS, PLLC

Practice address

6300 W Parker Rd
Mob 2, Ste 128
Plano, TX 75093-8100

Phone

(972) 981-8658

Fax

(915) 207-2200

NPI assigned

Nov 5, 2015

Organization subpart

No

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

Authorized official

Name

Vimon SeriburiNPI 1174706360

Title

Manager

Phone

(917) 519-3765

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vimon Seriburi

  • Infectious Disease Physician
  • Plano, TX
  • NPI 1174706360

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Roya Yazdani, PA

  • Physician Assistant
  • Dallas, TX
  • NPI 1932483062
  Medicare reassignment

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1891168316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 W PARKER RD",
            "address_2": "#278-137",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937767",
            "fax_number": "915-207-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD",
            "address_2": "MOB 2, STE 128",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938100",
            "telephone_number": "972-981-8658",
            "fax_number": "915-207-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PREMIER INFECTIOUS DISEASE CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "SERIBURI",
        "authorized_official_first_name": "VIMON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-519-3765"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P4819",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "P4819",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P4819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Orthopaedic Associates, LLP
• Texas Orthopedic & Spine Rehab Dba
• Texas PHC, Inc.
• Texas Phlebology PA
• Texas Physio Associates PC
• Texas Premier OB/GYN Center PLLC
• Texas Prime Dental Group PC
• Texas Radiology Associates LLP
• Texas Retina Associates
• Texas Sam Holdings, LLC

• Infectious Disease Physician in Plano, TX
• Providers in Plano, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.