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1306727318 NPI number — CONCEPT HEALTH CLINIC LLC

NPI Number: 1306727318
Health Care Provider/Practitioner: CONCEPT HEALTH CLINIC LLC

Information about “1306727318” NPI (CONCEPT HEALTH CLINIC LLC) exists in 1306727318 in HTML format HTML  |  1306727318 in plain Text format TXT  |  1306727318 in PDF (Portable Document Format) PDF  |  1306727318 in an XML format XML  formats.

NPI Number : 1306727318 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306727318",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CONCEPT HEALTH CLINIC LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "399 W CAMPBELL ROAD",
    "SecondLineMailingAddress": "SUITE 304",
    "MailingAddressCityName": "RICHARDSON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75080-3620",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-235-2304",
    "MailingAddressFaxNumber": "972-235-8442",
    "FirstLinePracticeLocationAddress": "399 W CAMPBELL RD STE 304",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RICHARDSON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75080-3620",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-235-2304",
    "PracticeLocationAddressFaxNumber": "972-235-8442",
    "EnumerationDate": "09/09/2025",
    "LastUpdateDate": "09/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LATIF",
    "AuthorizedOfficialFirstName": "RAFAY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD/MHA",
    "AuthorizedOfficialTelephoneNumber": "972-235-2304",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RG0300X",
        "TaxonomyName": "Geriatric Medicine (Internal Medicine) Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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