Highland Village Medical Center

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

160189 Issued in TX

Legal business name

HIGHLAND VILLAGE MEDICAL CENTER

Practice address

3160 Justin Rd
Highland Village, TX 75077-7049

Phone

(972) 899-6637

NPI assigned

Aug 25, 2015

Organization subpart

Yes

Parent organization

FIRST CHOICE EMERGENCY ROOMAs reported in NPPES

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

Authorized official

Name

Mr. Tim Fielding

Title

Cfo

Phone

(972) 899-6637

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Highland Village Medical Center

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1912374927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840795",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840795",
            "telephone_number": "972-899-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 JUSTIN RD",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777049",
            "telephone_number": "972-899-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND VILLAGE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CHOICE EMERGENCY ROOM",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "FIELDING",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-899-6637",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JACHO",
            "identifier": "434148",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Anne Hatley, APRN, FNP-C
• Healthsource of Flower Mound LLC
• Amy M Henderson, LPC,CPC
• Highland Dental Group, PLLC
• Highland Village Counseling
• Highland Village Primary Care, P.a.
• Highland Village Skilled Care, LLC
• Kaitlyn Hodges, DDS
• Meredith Ashley Holland, LPC-S
• Home Care Assistance of Denton Cty, TX, LLC

• Emergency Care Clinic/Center in Highland Village, TX
• Providers in Highland Village, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.