Accountable Physician Care Inc

Key facts

NPI

1982209474

Entity type

Organization (NPI type 2)

Primary specialty

Internal Medicine Physician 207R00000X

Legal business name

ACCOUNTABLE PHYSICIAN CARE INC

Practice address

1908 Royal LN Ste 650
Dallas, TX 75229-3128

Phone

(469) 242-2596

Fax

(469) 242-2524

NPI assigned

Dec 2, 2020

Organization subpart

No

Authorized official

Name

Hae Jin Kim

Title

Owner

Phone

(469) 242-2596

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 2, 2020.

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1982209474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 ROYAL LN STE 650",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 ROYAL LN STE 650",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293128",
            "telephone_number": "469-242-2596",
            "fax_number": "469-242-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCOUNTABLE PHYSICIAN CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HAE",
        "authorized_official_middle_name": "JIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-242-2596"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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