1689326712 NPI number — AD CURA PLLC

Table of content: MR. JOHN PAUL MAGEE LGSW (NPI 1821366576)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689326712 NPI number — AD CURA PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AD CURA PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
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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:
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Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1689326712
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/20/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1950 SWEETWATER LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PROSPER
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75078-7261
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-252-7076
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9301 N CENTRAL EXPY STE 475
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75231-0833
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-252-7076
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/20/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ELROD
Authorized Official First Name:
BRANDON
Authorized Official Middle Name:
SCOTT
Authorized Official Title or Position:
MEDICAL DIRECTOR/OWNER
Authorized Official Telephone Number:
915-252-7076

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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