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HEAL 360 PRIMARY CARE PLLC NPI 1588022800


NPI Information

NPI: 1588022800
Provider Name: HEAL 360 PRIMARY CARE PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 45D2217729

Address:
2806 W FM 544
WYLIE, TX
ZIP 75098
Phone: (972) 226-8900
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HEAL 360 PRIMARY CARE PLLC is a general practice in Wylie, 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 HEAL 360 PRIMARY CARE PLLC NPI is 1588022800. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2806 W FM 544
WYLIE, TX
ZIP 75098-022
Phone: (972) 226-8900
Fax: (972) 218-0554

The provider's authorized official is Mohammed Mohiuddin .
The authorized official title is Ceo and has the following contact phone number (972) 900-6009.

The CLIA number assigned to this NPI record is 45D2217729 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2016 and was last updated on 8/11/2023.


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 PracticeYes

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

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.