Organization Active NPI

Premier Physicians of North Texas, PLLC

  • Family Medicine Physician
  • Irving, TX
National Provider Identifier
1962056002
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PREMIER PHYSICIANS OF NORTH TEXAS, PLLC
Practice address
1107 S Macarthur Blvd Ste C
Irving, TX 75060-3827
Phone
(469) 722-5797
Fax
(469) 722-5797
NPI assigned
Jul 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Manojkumar Dobariya, MDNPI 1164717401
Title
President
Phone
(469) 722-5797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1107 S Macarthur Blvd Ste C
Irving, TX 75060-3827

Mailing address

1107 S Macarthur Blvd Ste C
Irving, TX 75060-3827
Phone (469) 722-5797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190919000014 TX Part B Supplier - Clinic/Group Practice 9537499439 Receives reassigned benefits from 10 practitioners
Practice locations: Carrollton, TX; Dallas, TX; Irving, TX

National Provider Directory

National Provider Directory

Locations

1107 S MacArthur Blvd
Ste C
Irving, TX 75060

Practitioners & affiliated clinicians

Practitioners 10

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": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1962056002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S MACARTHUR BLVD STE C",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750603827",
            "telephone_number": "469-722-5797",
            "fax_number": "469-722-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S MACARTHUR BLVD STE C",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750603827",
            "telephone_number": "469-722-5797",
            "fax_number": "469-722-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICIANS OF NORTH TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "DOBARIYA",
        "authorized_official_first_name": "MANOJKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-722-5797",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 Sep 1, 2026; 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.