Active NPI
Pang Home Visits PLLC
- Geriatric Medicine (Family Medicine) Physician
- Temple, TX
National Provider Identifier
1942574918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- K5175
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K5175 | TX | |
| Geriatric Medicine (Family Medicine) Physician | 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 DirectoryLocations
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.