Rockwall Family Medicine Associates, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M0079 Issued in TX

Legal business name

ROCKWALL FAMILY MEDICINE ASSOCIATES, PA

Practice address

2504 Ridge Rd
Suite 101
Rockwall, TX 75087-2569

Phone

(972) 772-4644

Fax

(972) 772-4654

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Jenny M Frazier, MD

Title

Physician/Owner

Phone

(972) 772-4644

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.

• Seth T Miller, M.D.

  • Family Medicine Physician
  • Austin, TX
  • NPI 1821067729
  NPD (past)
• Brenda Wallace, PA-C

  • Physician Assistant
  • Rockwall, TX
  • NPI 1104130426
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1922040682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "972-772-4644",
            "fax_number": "972-772-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "972-772-4644",
            "fax_number": "972-772-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL FAMILY MEDICINE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "972-772-4644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockwall Diagnostic Imaging, LTD
• Rockwall Elite Healthcare PLLC
• Rockwall Family Dentistry and Orthodontics PLLC
• Rockwall Family Dentistry P.a.
• Rockwall Family Medicine
• Rockwall Family Smiles PLLC
• Rockwall First Assist, LLC
• Rockwall Grace Center for Family & Community Development
• Rockwall Group Health, LLC
• Rockwall Health Center P.L.L.C

• Family Medicine Physician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.