MEDICAL CLINIC OF NORTH TEXAS, PLLC (NPI# 1598841793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598841793 |
| Entity Type | Organization |
| Organization Name | MEDICAL CLINIC OF NORTH TEXAS, PLLC |
| Other Organization Name | USMD PHYSICIAN SERVICES |
| Practice Address |
2801 Gateway Drive Suite 100 Irving TX 75063-2694 |
| Mailing Address |
Po Box 678095 Dallas TX 75267-8095 |
| Practice Telephone | 9728470712 |
| Practice Fax Number | 8174194605 |
| Mailing Telephone | 9728470712 |
| Mailing Fax Number | 8174194605 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | MICHAEL W BUKOSKY (PRESIDENT PPM) |
| Authorized Official Telephone | 9728470712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE - DALLAS | 0043AU | 01 |
| TX | 313447001 | 05 | |
| TX | 314681301 | 05 | |
| TX | MEDICARE - OTHER | 00U61E | 01 |
| TX | MEDICARE - TARRANT | 00R86C | 01 |
| TX | 314801701 | 05 |
| Other Name | Type Code |
|---|---|
| USMD Physician Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033167234 | Medical Clinic of North Texas, Pllc | Family Medicine | 811 W. I-20, Suite 120, Arlington, TX 76017-2694 | 2006-05-04 |
| 1538117742 | Medical Clinic of North Texas, Pllc | Family Medicine | 6750 N. Macarthur Blvd, Suite 350, Irving, TX 75039-2694 | 2006-05-04 |
| 1912955030 | Medical Clinic of North Texas, Pllc | Family Medicine | 5501 Independence Parkway, Suite 110, Plano, TX 75023-2694 | 2006-05-04 |
| Street Address |
2801 GATEWAY DRIVE SUITE 100 |
| City | IRVING |
| State | TX |
| Zip Code | 75063-2694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
| 1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
| 1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
| 1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
| 1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
| 1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
| 1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
| 1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
| 1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
| 1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
| Find all providers in zip 75063 | ||||
| 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 |
| 1285086397 | Edge-md Holding Pllc | Family Medicine | 1200 W. Walnut Hill Lane, Suite 3950, Irving, TX 75038 | 2016-07-13 |
| 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 |
| 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.