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EDMONDSON ROSS & HURST MEMORIAL CLINIC PLLC NPI 1033376744


NPI Information

NPI: 1033376744
Provider Name: EDMONDSON ROSS & HURST MEMORIAL CLINIC PLLC

Doing Business As: MEMORIAL CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
600 N HIGHLAND AVE
SUITE 105
SHERMAN, TX
ZIP 75092
Phone: (903) 892-2781
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EDMONDSON ROSS & HURST MEMORIAL CLINIC PLLC is a general practice in Sherman, 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 EDMONDSON ROSS & HURST MEMORIAL CLINIC PLLC NPI is 1033376744. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Memorial Clinic.

The provider's business location address is:

600 N HIGHLAND AVE
SUITE 105
SHERMAN, TX
ZIP 75092-631
Phone: (903) 892-2781
Fax: (903) 892-2780

The provider's authorized official is Kevin Brent Stacks .
The authorized official title is Sole Member and has the following contact phone number (903) 892-2781.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 3/15/2010.


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
1208D00000XGeneral PracticeK7908TEXASYes

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
1195685601MEDICAIDTEXAS
200Z596MEDICARE 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: 4/28/2024

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