Organization Active NPI

Deborah T Combs Cantrell MD PA

  • Clinic/Center
  • Lewisville, TX
National Provider Identifier
1922336205
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DEBORAH T COMBS CANTRELL MD PA
Practice address
405 State Highway 121 Byp
Building a Ste 150
Lewisville, TX 75067-8214
Phone
(469) 312-1130
Fax
(972) 459-7221
NPI assigned
Nov 25, 2009
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Sherri Flores
Title
Practice Administrator
Phone
(469) 312-1135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

405 State Highway 121 Byp
Building a Ste 150
Lewisville, TX 75067-8214

Mailing address

405 State Highway 121 Byp
Building a Ste 150
Lewisville, TX 75067-8214
Phone (469) 312-1130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080115000605 TX Part B Supplier - Clinic/Group Practice 3971696899 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lewisville, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Deborah T Combs Cantrell MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

440 W Lyndon B Johnson Fwy
Ste 225
Irving, TX 75063
Phone (972) 869-3448

7301 State Highway 161
Ste 160
Irving, TX 75039
Phone (972) 259-4768

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1922336205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 STATE HIGHWAY 121 BYP",
            "address_2": "BUILDING A STE 150",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678214",
            "telephone_number": "469-312-1130",
            "fax_number": "972-459-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STATE HIGHWAY 121 BYP",
            "address_2": "BUILDING A STE 150",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678214",
            "telephone_number": "469-312-1130",
            "fax_number": "972-459-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH T COMBS CANTRELL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "469-312-1135"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.