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MY CARE PLLC NPI 1003209008


NPI Information

NPI: 1003209008
Provider Name: MY CARE PLLC

Doing Business As: MY CARE FAMILY CLINIC

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 45D2100323

Address:
1112 MAIN ST
GARLAND, TX
ZIP 75040
Phone: (469) 573-9433
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MY CARE PLLC is a health service clinic center in Garland, TX. MY CARE PLLC NPI is 1003209008. The provider is registered as an organization entity type.
The provider Is Doing Business As My Care Family Clinic.

The provider's business location address is:

1112 MAIN ST
GARLAND, TX
ZIP 75040
Phone: (469) 573-9433

The provider's authorized official is Lizy Jimmy Johns .
The authorized official title is Health Care Provider and has the following contact phone number (469) 573-9433.

The CLIA number assigned to this NPI record is 45D2100323 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2015 and was last updated on 8/17/2018.


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
1261QH0100XClinic/CenterHealth ServiceYes

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: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.