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RELIANCE INTERNATIONAL CLINIC LLC NPI 1730699216


NPI Information

NPI: 1730699216
Provider Name: RELIANCE INTERNATIONAL CLINIC, LLC

Doing Business As: OMNI MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2136328

Address:
4040 MCDERMOTT RD STE 100
PLANO, TX
ZIP 75024
Phone: (469) 552-5988
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RELIANCE INTERNATIONAL CLINIC, LLC is a family medicine in Plano, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RELIANCE INTERNATIONAL CLINIC, LLC NPI is 1730699216. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Omni Medical Center.

The provider's business location address is:

4040 MCDERMOTT RD STE 100
PLANO, TX
ZIP 75024-735
Phone: (469) 552-5988
Fax: (972) 668-1618

The provider's authorized official is Jennifer Li .
The authorized official title is Billing Manager and has the following contact phone number (469) 623-1816.

The CLIA number assigned to this NPI record is 45D2136328 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/10/2017 and was last updated on 10/10/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10391435-02MEDICAIDTEXAS

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: 11/14/2023

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