Organization Active NPI

Lake Forest Family Health, PLLC

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1902103120
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAKE FOREST FAMILY HEALTH, PLLC
Practice address
4987 W University Dr
Suite 150
McKinney, TX 75071-5072
Phone
(972) 285-7137
NPI assigned
Feb 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Jeff Henderson
Title
VP
Phone
(972) 401-8720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4987 W University Dr
Suite 150
McKinney, TX 75071-5072

Mailing address

4987 W University Dr
Suite 150
McKinney, TX 75071-5072
Phone (972) 285-7137

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1902103120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4987 W UNIVERSITY DR",
            "address_2": "SUITE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715072",
            "telephone_number": "972-285-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4987 W UNIVERSITY DR",
            "address_2": "SUITE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715072",
            "telephone_number": "972-285-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FOREST FAMILY HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "972-401-8720"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.