Organization Active NPI

Precision Health Clinic PLLC

  • Clinic/Center
  • Irving, TX
National Provider Identifier
1942040407
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRECISION HEALTH CLINIC PLLC
Practice address
9901 Valley Ranch Pkwy E Ste 1015
Irving, TX 75063-4777
Phone
(972) 417-1936
NPI assigned
May 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Maria Alcantar
Title
Manager
Phone
(817) 412-0792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9901 Valley Ranch Pkwy E Ste 1015
Irving, TX 75063-4777

Mailing address

5521 Bellaire Dr S Ste 200
Fort Worth, TX 76109-5855

Other practice location 1

17390 Preston Rd Ste 360
Dallas, TX 75252-5927
Phone (469) 466-8113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251117001652 TX Part B Supplier - Clinic/Group Practice 9133610280 Receives reassigned benefits from 9 practitioners
Practice locations: Arlington, TX; San Antonio, TX; Irving, TX; Dallas, TX

National Provider Directory

National Provider Directory

Locations

1220 W Corporate Dr
Arlington, TX 76006
Phone (786) 352-9204

17390 Preston Rd
Ste 360
Dallas, TX 75252
Phone (469) 466-8113

20627 Huebner Rd
Ste 101
San Antonio, TX 78258

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1942040407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 BELLAIRE DR S STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761095855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 VALLEY RANCH PKWY E STE 1015",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634777",
            "telephone_number": "972-417-1936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17390 Preston Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752525927",
            "country_code": "US",
            "telephone_number": "469-466-8113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISION HEALTH CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "ALCANTAR",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-412-0792"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.