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MEN'S MEDICAL AND WELLNESS PLLC NPI 1407351604


NPI Information

NPI: 1407351604
Provider Name: MEN'S MEDICAL AND WELLNESS, PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3013 E RENNER RD STE 120
RICHARDSON, TX
ZIP 75082
Phone: (469) 931-0684
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MEN'S MEDICAL AND WELLNESS, PLLC is a general practice in Richardson, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MEN'S MEDICAL AND WELLNESS, PLLC NPI is 1407351604. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3013 E RENNER RD STE 120
RICHARDSON, TX
ZIP 75082-577
Phone: (469) 931-0684

The provider's authorized official is Tim Mcauliff .
The authorized official title is Medical Director and has the following contact phone number (469) 931-0684.

The enumeration date for this NPI number is 3/28/2018 and was last updated on 9/22/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 5/5/2024

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