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TROPHY CLUB FAMILY MEDICINE PA NPI 1922093061


NPI Information

NPI: 1922093061
Provider Name: TROPHY CLUB FAMILY MEDICINE PA

Doing Business As: TROPHY CLUB FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
301 TROPHY LAKE DR
#136
TROPHY CLUB, TX
ZIP 76262
Phone: (817) 430-9111
Get Directions

TROPHY CLUB FAMILY MEDICINE PA is a family medicine in Trophy Club, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TROPHY CLUB FAMILY MEDICINE PA NPI is 1922093061. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Trophy Club Family Medicine.

The provider's business location address is:

301 TROPHY LAKE DR
#136
TROPHY CLUB, TX
ZIP 76262-238
Phone: (817) 430-9111
Fax: (817) 430-8911

The provider's authorized official is Lainey Gee .
The authorized official title is Business Manager and has the following contact phone number (817) 430-9111.

The enumeration date for this NPI number is 9/14/2005 and was last updated on 10/31/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1148222601MEDICAIDTEXAS
200525UMEDICARE PINTEXAS
30008JQOTHERTEXASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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