FAIRWAY FAMILY MEDICINE-PRIMARY CARE, PLLC
NPI 1508115718
Clinic/Center - Primary Care in Carrollton, TX
About Fairway Family Medicine-primary Care, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRWAY FAMILY MEDICINE-PRIMARY CARE, PLLC (NPI 1508115718) is a healthcare organization registered as a primary care in Carrollton, Texas and active in the NPI registry since September 2012. The organization lists Hong Xiao, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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 45D2045268
Fairway Family Medicine · Carrollton, TXOther Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARROLLTON, TX 75010
CARROLLTON, TX 75010
CARROLLTON, TX 75010
CARROLLTON, TX 75010
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 Fairway Family Medicine-Primary Care, PLLC's NPI number?
The NPI number for Fairway Family Medicine-Primary Care, PLLC is 1508115718. It was assigned to this organization in the NPPES registry on September 4, 2012.
Where is Fairway Family Medicine-Primary Care, PLLC located?
Fairway Family Medicine-Primary Care, PLLC is located at 4100 Fairway Dr 320, Carrollton, TX 75010. The listed phone number is (972) 236-7608.
What is Fairway Family Medicine-Primary Care, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
What insurance does Fairway Family Medicine-Primary Care, PLLC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Fairway Family Medicine-Primary Care, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Fairway Family Medicine-Primary Care, PLLC was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fairway Family Medicine-Primary Care, Pllc · NPI 1508115718
Primary Care organization in Carrollton, Texas. Organization record, active in the CMS NPPES registry since September 4, 2012.
## Identity
- **NPI:** 1508115718 (Entity type: Organization)
- **Enumerated:** September 4, 2012
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Hong Xiao, MEDICAL DIRECTOR
## Practice location
- **Address:** 4100 FAIRWAY DR, 320, Carrollton, TX 75010-6525
- **Phone:** (972) 236-7608
## Record status
- **NPPES last updated:** September 4, 2012
- **Other identifiers:** Medicare PIN 8413B6 (TX); Medicare UPIN H53974 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508115718) · Data from the CMS NPPES public registry.