MY CARE ON DEMAND LLC NPI 1255950002

NPI Information

  • NPI: 1255950002
  • Provider Name: MY CARE ON DEMAND LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MYCARE FAMILY AND WELLNESS CLINIC
  • CLIA Number: 45D2318527
  • Address: 2707 BOLTON BOONE DR STE 102
    DESOTO, TX
    ZIP 75115
  • Phone: (469) 530-4990

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NPI Details

MY CARE ON DEMAND LLC is a family medicine in Desoto, 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. MY CARE ON DEMAND LLC NPI is 1255950002. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mycare Family And Wellness Clinic.

The provider's business location address is:

2707 BOLTON BOONE DR STE 102
DESOTO, TX
ZIP 75115-077
Phone: (469) 530-4990

The provider's authorized official is Damian Irabor .
The authorized official title is Member and has the following contact phone number (214) 356-5165.

The CLIA number assigned to this NPI record is 45D2318527 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2020 and was last updated on 11/6/2024.

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
1207Q00000XFamily MedicineYes
2261QP2300XClinic/CenterPrimary CareNo
3261QU0200XClinic/CenterUrgent CareNo

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: 11/21/2025

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