Organization Active NPI

Pang Home Visits PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Temple, TX
National Provider Identifier
1942574918
Registry record updated Jul 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
K5175 Issued in TX
Legal business name
PANG HOME VISITS PLLC
Practice address
617 S 3Rd St
Temple, TX 76504-5509
Phone
(254) 935-2655
Fax
(254) 935-2660
NPI assigned
Mar 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2012

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

Authorized official

Name
Dr. John Jakes Pang, DO
Title
MD/Owner
Phone
(254) 935-2655

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X K5175 TX
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X K5175 TX Primary

Addresses

Primary practice location

617 S 3Rd St
Temple, TX 76504-5509

Mailing address

617 S 3Rd St
Temple, TX 76504-5509
Phone (254) 935-2655

National Provider Directory

National Provider Directory

Locations

2277 N Masch Branch Rd
Ste 200
Denton, TX 76207

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341100800000",
    "number": "1942574918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 S 3RD ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765045509",
            "telephone_number": "254-935-2655",
            "fax_number": "254-935-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 S 3RD ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765045509",
            "telephone_number": "254-935-2655",
            "fax_number": "254-935-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANG HOME VISITS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-07-01",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JAKES",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "254-935-2655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5175",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "K5175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2012; 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.