EDGE-MD HOLDING PLLC (NPI# 1285086397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285086397 |
| Entity Type | Organization |
| Organization Name | EDGE-MD HOLDING PLLC |
| Other Organization Name | MEDICO MD |
| Practice Address |
1200 W. Walnut Hill Lane Suite 3950 Irving TX 75038 |
| Practice Telephone | 9725141672 |
| Practice Fax Number | 2146994397 |
| Mailing Telephone | 9725141672 |
| Mailing Fax Number | 2146994397 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2018-01-08 |
| Authorized Official Name | NATHAN PHUCKHAC NGUYEN (OWNER) |
| Authorized Official Telephone | 9795322000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Medico MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497222343 | Edge-md Holding Pllc | Physiological Laboratory | 1200 W Walnut Hill Ln Ste 1300, Irving, TX 75038-3050 | 2018-10-30 |
| Street Address |
1200 W. WALNUT HILL LANE SUITE 3950 |
| City | IRVING |
| State | TX |
| Zip Code | 75038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959587 | S&w Primary Home Care | Home Health | 3921 Timberidge Drive, Irving, TX 75038 | 2020-10-12 |
| 1295372928 | Wecare Tlc | Clinic/Center | 777 Hidden Ridge, Irving, TX 75038 | 2019-12-02 |
| 1407369135 | North Texas Psychiatry Associates Pllc | Psychiatry & Neurology | 4020 N. Macarthur Blvd, Suite 122 - 153, Irving, TX 75038 | 2017-11-16 |
| 1164970745 | Young Men's Christian Association of Metropolitan Dallas | Health Educator | 1621 W Walnut Hill Ln, Irving, TX 75038 | 2016-09-13 |
| 1912318445 | Alliance Neurodiagnostics, LLC | Clinic/Center | 4545 Fuller Dr Ste 200, Irving, TX 75038 | 2014-05-19 |
| 1790029841 | Paul Dean Allen | Counselor | 5525 N. Macarthur Blvd, Suite 800, Mhn Government Services, Irving, TX 75038 | 2012-11-15 |
| 1437403227 | Dashwood Pharmacy | Pharmacy | 1300 W. Walnut Hill Lane, Suite 163, Irving, TX 75038 | 2012-11-01 |
| 1265795538 | Michael Fooshee | Dentist | 3007 Skyway Circle North, Suite 100, Irving, TX 75038 | 2012-06-20 |
| 1205107273 | Sylviane Akenda Kasende | Nurse Practitioner | 2925 Skyway Circle N, Irving, TX 75038 | 2012-01-23 |
| 1770893828 | Donald Leigh Oberlin | Radiology | 4743 Byron Circle, Irving, TX 75038 | 2010-10-07 |
| Find all providers in zip 75038 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376198507 | Sanitas Medical Center of Texas Pa | Family Medicine | 3917 West Airport Freeway, Irving, TX 75062 | 2019-08-05 |
| 1144875626 | Sanitas Medical Center of Texas Pa | Family Medicine | 6500 N Macarthur Blvd, Irving, TX 75039-2460 | 2019-08-01 |
| 1639656325 | Open Arms Healthcare of Texas Inc. | Family Medicine | 1200 W Walnut Hill Ln Ste 3950, Irving, TX 75038-3459 | 2018-07-25 |
| 1386097558 | Perfect Care Pllc | Family Medicine | 3200 N Macarthur Blvd Ste 103, Irving, TX 75062-4404 | 2016-07-22 |
| 1194171074 | A1 Visiting Doctors Inc | Family Medicine | 4370 Annesley Ln, Irving, TX 75062-1735 | 2016-05-10 |
| 1700296209 | Star Convenientcare, Pa | Family Medicine | 4301 N Macarthur Boulevard, #202, Irving, TX 75038-6497 | 2014-05-06 |
| 1104253962 | Mendez Medical Consulting, Pllc | Family Medicine | 825 W Royal Ln, Irving, TX 75039-3601 | 2013-10-10 |
| 1841586179 | Irst Health | Family Medicine | 7200 North State Highway 161, #300, Irving, TX 75039 | 2011-06-24 |
| 1598072563 | Jaxel Lopez Sepulveda | Family Medicine | 245 E Grauwyler Rd Ste 122, Irving, TX 75061-2639 | 2010-09-10 |
| 1255580528 | Renjana Mony | Family Medicine | 1107 S Macarthur Blvd, Irving, TX 75060-3827 | 2008-09-11 |
| Find all providers in IRVING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.