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MEDICAL EDGE HEALTHCARE GROUP PA NPI 1760435069


NPI Information

NPI: 1760435069
Provider Name: MEDICAL EDGE HEALTHCARE GROUP PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
9229 LYNDON B JOHNSON FWY STE 250
DALLAS, TX
ZIP 75243
Phone: (972) 739-3001
Get Directions

MEDICAL EDGE HEALTHCARE GROUP PA is a family medicine in Dallas, 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. MEDICAL EDGE HEALTHCARE GROUP PA NPI is 1760435069. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9229 LYNDON B JOHNSON FWY STE 250
DALLAS, TX
ZIP 75243-403
Phone: (972) 739-3001

The provider's authorized official is Clay M. Heighten .
The authorized official title is President and has the following contact phone number (972) 739-3001.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 9/16/2011.


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
12085R0202XRadiologyDiagnostic RadiologyNo
2261QR0200XClinic/CenterRadiologyNo
3111N00000XChiropractorNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207R00000XInternal MedicineNo
6208600000XSurgeryNo
7207V00000XObstetrics & GynecologyNo
8207RH0003XInternal MedicineHematology & OncologyNo
9207X00000XOrthopaedic SurgeryNo
10207LP2900XAnesthesiologyPain MedicineNo
11208100000XPhysical Medicine & RehabilitationNo
12363AM0700XPhysician AssistantMedicalNo
13363L00000XNurse PractitionerNo
14207Q00000XFamily 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
1109379103MEDICAIDTEXAS
200516NMEDICARE PINTEXAS
3CG4470MEDICARE PINTEXAS
4CN8341MEDICARE PINTEXAS
5DB5501MEDICARE PINTEXAS
6DE3693MEDICARE PINTEXAS
700516NOTHERTEXASBCBS
8DA7577MEDICARE PINTEXAS
9CG3777MEDICARE PINTEXAS
10109379102MEDICAIDTEXAS
11DB2102MEDICARE PINTEXAS
12CD7134MEDICARE PINTEXAS
13DD1816MEDICARE PINTEXAS

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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