1417390188 NPI number — BDPM MCKINNEY, PLLC

Table of content: (NPI 1417390188)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417390188 NPI number — BDPM MCKINNEY, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BDPM MCKINNEY, PLLC
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:
6
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:
1417390188
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
270 REDBUD BLVD
Provider Second Line Business Mailing Address:
STE 100
Provider Business Mailing Address City Name:
MCKINNEY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75069-3390
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-542-5879
Provider Business Mailing Address Fax Number:
972-542-7779

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
270 REDBUD BLVD
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
MCKINNEY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75069-3390
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-542-5879
Provider Business Practice Location Address Fax Number:
972-542-7779
Provider Enumeration Date:
04/12/2013

Additional Information

Authorized Official

Authorized Official Last Name:
LUNDIN
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
Authorized Official Title or Position:
STAFF PROVIDER
Authorized Official Telephone Number:
972-542-5879

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 6953350001 . This is a "MEDICARE DMEPOS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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