1083089726 NPI number — MEDICAL COMMAND CLINICAL PRACTICE OF PENNSYLVANIA PC

Table of content: (NPI 1083089726)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083089726 NPI number — MEDICAL COMMAND CLINICAL PRACTICE OF PENNSYLVANIA PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEDICAL COMMAND CLINICAL PRACTICE OF PENNSYLVANIA PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083089726
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/07/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 785186
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19178-5186
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-712-2815
Provider Business Mailing Address Fax Number:
888-491-7218

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13737 NOEL RD
Provider Second Line Business Practice Location Address:
SUITE 1400
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75240-1331
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-712-2815
Provider Business Practice Location Address Fax Number:
888-491-7218
Provider Enumeration Date:
12/07/2015

Additional Information

Authorized Official

Authorized Official Last Name:
HARRIS
Authorized Official First Name:
RUSSELL
Authorized Official Middle Name:
Authorized Official Title or Position:
PHYSICIAN OWNER
Authorized Official Telephone Number:
214-754-8700

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 164W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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