Greenville Medical Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L9612 Issued in TX

Legal business name

GREENVILLE MEDICAL CLINIC LLC

Practice address

4201 Medical Center Dr Ste 200
McKinney, TX 75069-1769

Phone

(214) 717-8119

Fax

(469) 930-0197

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Syed Munir Aziz, MD

Title

Owner

Phone

(469) 886-8537

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1972015337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6516 JAMESTOWN RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350399",
            "telephone_number": "214-717-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL CENTER DR STE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691769",
            "telephone_number": "214-717-8119",
            "fax_number": "469-930-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "MUNIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-886-8537",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L9612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.