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MEDINA PRIMARY CARE PLLC NPI 1922544592


NPI Information

NPI: 1922544592
Provider Name: MEDINA PRIMARY CARE PLLC

Doing Business As: MEDINA PRIMARY CARE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
4013 14TH ST
401
PLANO, TX
ZIP 75074
Phone: (972) 456-9292
Get Directions

MEDINA PRIMARY CARE PLLC is a clinic center in Plano, 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). MEDINA PRIMARY CARE PLLC NPI is 1922544592. The provider is registered as an organization entity type.
The provider Is Doing Business As Medina Primary Care.

The provider's business location address is:

4013 14TH ST
401
PLANO, TX
ZIP 75074-125
Phone: (972) 456-9292
Fax: (972) 456-9393

The provider's authorized official is Mir Majid Ali .
The authorized official title is Physican Owner and has the following contact phone number (972) 456-9292.

The enumeration date for this NPI number is 1/6/2017 and was last updated on 12/30/2019.


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/CenterQ6929TEXASYes

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
1368903601MEDICAIDTEXAS

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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