Carrollton Primary Care Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H3136 Issued in TX

Legal business name

CARROLLTON PRIMARY CARE MEDICINE PLLC

Practice address

1809 Golden Trail CT Ste 240
Carrollton, TX 75010-4667

Phone

(972) 939-0427

NPI assigned

Jan 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. David Ronald Parker Jr., M.D.

Title

Member

Phone

(214) 394-0959

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1922515048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 MUSCOGEE TRL",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101130",
            "telephone_number": "214-394-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 GOLDEN TRAIL CT STE 240",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104667",
            "telephone_number": "972-939-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON PRIMARY CARE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "214-394-0959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H3136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carrollton Podiatrist PLLC
• Carrollton Regional Dialysis Center LLC
• Carrollton Regional Pharmacy
• Carrollton Springs, LLC
• Carrollton Top Dental PLLC
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• Family Medicine Physician in Carrollton, TX
• Providers in Carrollton, 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 Jan 10, 2018; 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.