Excel Performance Medical Center

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

C8197 Issued in TX

Legal business name

EXCEL PERFORMANCE MEDICAL CENTER

Practice address

5550 LBJ Fwy
Suite 360
Dallas, TX 75240-6217

Phone

(972) 996-0906

Fax

(972) 996-0905

NPI assigned

Jul 25, 2008

Last updated

Jul 25, 2008By 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

Dr. Charlotte Burns, O.D., M.S., J.D.,NPI 1285689877

Title

President

Phone

(972) 996-0906

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Charlotte Leigh Burns, O.D.

  • Optometrist
  • Dallas, TX
  • NPI 1285689877
  NPD (past) Authorized official

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1902061278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 LBJ FWY",
            "address_2": "SUITE 360",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406217",
            "telephone_number": "972-996-0906",
            "fax_number": "972-996-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 LBJ FWY",
            "address_2": "SUITE 360",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406217",
            "telephone_number": "972-996-0906",
            "fax_number": "972-996-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PERFORMANCE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-996-0906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D., M.S., J.D.,"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "C8197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excel Dental Clinic of Lancaster, PC
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• Excel Plus Home Health Inc
• Excel Transportation LLC
• Excellent Choice Home Health Care, Inc.
• Exceptional Anesthesia PLLC
• Exceptional Care Transport LLC

• Legal Medicine in Dallas, TX
• Providers in Dallas, TX by specialty
• Legal Medicine in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.