EXTENDED MEDICAL MANAGEMENT SERVICES INC. NPI 1861577579

NPI Information

  • NPI: 1861577579
  • Provider Name: EXTENDED MEDICAL MANAGEMENT SERVICES, INC.
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • :
  • Address: 13140 COIT RD
    SUITE 212
    DALLAS, TX
    ZIP 75240
  • Phone: (469) 330-2444

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NPI Details

EXTENDED MEDICAL MANAGEMENT SERVICES, INC. is a geriatric medicine internal medicine in Dallas, TX. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. EXTENDED MEDICAL MANAGEMENT SERVICES, INC. NPI is 1861577579. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

13140 COIT RD
SUITE 212
DALLAS, TX
ZIP 75240-755
Phone: (469) 330-2444
Fax: (469) 330-2396

The provider's authorized official is Derrick L Bowman .
The authorized official title is President and has the following contact phone number (469) 330-2444.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 9/11/2025.

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
1363LG0600XNurse PractitionerGerontology506447WASHINGTONNo
2207RG0300XInternal MedicineGeriatric MedicineM2309PENNSYLVANIAYes

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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