Premier Physicians Of North Texas, PLLC
Family Medicine in Irving, TX. Organization (NPI-2).
NPI number1962056002
StatusActive
Last updated in NPPESSep 1, 2026
Details
- NPI
- 1962056002
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Physicians Of North Texas, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 26, 2019
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1107 S Macarthur Blvd Ste CIrving, TX 75060-3827
Phone 469-722-5797 · Fax 469-722-5797
Mailing address
1107 S Macarthur Blvd Ste CIrving, TX 75060-3827
Phone 469-722-5797 · Fax 469-722-5797
Authorized official
Manojkumar Dobariya
President
4697225797
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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