Internal Medicine Clinic of Grapevine, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

INTERNAL MEDICINE CLINIC OF GRAPEVINE, PA

Practice address

1600 W College St
#490
Grapevine, TX 76051-3580

Phone

(817) 481-1511

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angie Lowe

Title

Office Manager

Phone

(817) 481-1511

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hill D. Flora, D.C.

  • Chiropractor
  • Grapevine, TX
  • NPI 1306853692
  NPD (past)
• Bill J Johnson Jr., MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1568411205
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902025455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST",
            "address_2": "#490",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513580",
            "telephone_number": "817-481-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST",
            "address_2": "#490",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513580",
            "telephone_number": "817-481-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CLINIC OF GRAPEVINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-481-1511"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Revolution, PLLC (Jamie English, LCSW)
• Innovative Aging Concepts LLC (Senior Helpers)
• Innovative Trauma Therapy, PLLC
• Inpatient Group of Grapevine MD PA
• Integrated Healthcare Providers LLC
• Intimatematters,PLLC
• Conor David Irwin, MD
• Kamaldeen Isiaka, FNP-BC
• J & F Healthy Lifestyle LLC (Griswold Home Care For Fort Worth & Southlake)
• J & J Homely Hospice and Palliative Care LLC (Liberty Hospice)

• Primary Care Clinic/Center in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.