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ST JOHN'S MEDICAL MANAGEMENT NPI 1447476361


NPI Information

NPI: 1447476361
Provider Name: ST JOHN'S MEDICAL MANAGEMENT

Doing Business As: ST JOHN'S MEDICAL CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1050 W MOCKINGBIRD LN
DALLAS, TX
ZIP 75247
Phone: (214) 637-1616
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ST JOHN'S MEDICAL MANAGEMENT is a clinic center in Dallas, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ST JOHN'S MEDICAL MANAGEMENT NPI is 1447476361. The provider is registered as an organization entity type.
The provider Is Doing Business As St John's Medical Center.

The provider's business location address is:

1050 W MOCKINGBIRD LN
DALLAS, TX
ZIP 75247-120
Phone: (214) 637-1616
Fax: (214) 637-9080

The provider's authorized official is Mark Kuykendall .
The authorized official title is Office Manager and has the following contact phone number (214) 637-1616.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.


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
1261Q00000XClinic/CenterYes

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

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.