FRISCO FAMILY HEALTHCARE CLINIC
NPI 1366899833
Nurse Practitioner - Family in Frisco, TX

Active since May 15, 2016CLIA 45D2115852 · Waiver
4112 LEGACY DR STE 326, FRISCO, TX 75034(214) 872-1232 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2017, May 15, 2016 (2 updates tracked since 2016).

About Frisco Family Healthcare Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRISCO FAMILY HEALTHCARE CLINIC (NPI 1366899833) is a healthcare organization registered as a family in Frisco, Texas and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through July 13, 2028 and lists Mee Ok Kim, President, Provider, as its authorized official.

NPPES Registry Identity

NPI1366899833
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCHIROHEALTH MEDICAL AND ANCILLARY SERVICES, LLC
Location Address4112 LEGACY DR STE 326Frisco, TX 75034-0811
Mailing Address4112 Legacy Dr, Suite 326Frisco, TX 75034-0810 · (214) 872-1232
Organization SubpartNo
Authorized OfficialMee Ok KimPresident, Provider · (214) 872-1232
Enumeration DateMay 15, 2016
Last NPPES UpdateJune 8, 20172 updates tracked since enumeration
NPI 1366899833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License AP123278 (TX)
4112 LEGACY DR STE 326, Frisco, TX 75034

Other Names 1

Doing Business AsFrisco Family Healthcare Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2115852

Frisco Family Healthcare Clinic · Frisco, TX
Active · expires Jul 13, 2028
CLIA Number45D2115852
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 14, 2026
Certificate Expiration DateJuly 13, 2028
Laboratory DirectorOyetokunbo Lemoru
Laboratory Phone(214) 872-1232
Laboratory LocationFrisco Family Healthcare Clinic9555 Lebanon Rd Suite 1003, Frisco, TX 75035
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
4112 LEGACY DR STE 326
FRISCO, TX 75034
Chiropractor (Rehabilitation)
4112 LEGACY DR STE 326
FRISCO, TX 75034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chirohealth Medical And Ancillary Services, LLC's NPI number?

The NPI number for Chirohealth Medical And Ancillary Services, LLC is 1366899833. It was assigned to this organization in the NPPES registry on May 15, 2016. The provider is doing business as Frisco Family Healthcare Clinic.

Where is Chirohealth Medical And Ancillary Services, LLC located?

Chirohealth Medical And Ancillary Services, LLC is located at 4112 Legacy Dr Ste 326, Frisco, TX 75034. The listed phone number is (214) 872-1232.

What is Chirohealth Medical And Ancillary Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Chirohealth Medical And Ancillary Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2115852) is associated with this NPI, valid through July 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chirohealth Medical And Ancillary Services, LLC was last updated on June 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.