IAN JAMES MUDGE (NPI# 1700414539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700414539 |
| Entity Type | Individual |
| Full Name | IAN JAMES MUDGE |
| Credential | L.P.C. |
| Practice Address |
1216 Fair Oaks Dr Irving TX 75060-3810 |
| Practice Telephone | 8622013495 |
| Mailing Telephone | 8622013495 |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2020-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1216 FAIR OAKS DR |
| City | IRVING |
| State | TX |
| Zip Code | 75060-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043670193 | Timberly Lewis | Counselor | 621 E. 2nd Street, Irving, TX 75060 | 2016-03-02 |
| 1982994323 | Cwc Dental Pllc | Dentist | 1107 S. Macarthur Blvd, Irving, TX 75060 | 2011-04-19 |
| 1760793632 | Sparkle Dental Center of Grand Prairie | Dentist | 1017 Ft Worth St, Ste 100, Grand Prairie, TX 75060 | 2010-06-25 |
| 1316150295 | Gloria E Bhushan | Dentist | 1015 E. Irving Boulevard, Irving, TX 75060 | 2007-05-08 |
| 1568494672 | Myrna Carag West | Internal Medicine | 219 S Oconnor Rd, Irving, TX 75060 | 2006-07-07 |
| 1962432930 | City of Irving | Ambulance | 825 W Irving Blvd., Irving, TX 75060 | 2006-07-04 |
| 1346722782 | Rajesh Pillai | Pharmacist | 1333 S Story Rd, Irving, TX 75060 | 2018-09-01 |
| 1891018339 | Jacob Bonaventure Chennat | Pharmacist | 1050 W Shady Grove Rd, Irving, TX 75060 | 2010-03-11 |
| 1396795357 | Davis Mobility Co. | Durable Medical Equipment & Medical Supplies | 325 S Belt Line Rd, Irving, TX 75060-2105 | 2006-05-11 |
| 1205395878 | Always Home Alternative To Nursing Facility Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 325 S Belt Line Rd, Irving, TX 75060-2105 | 2019-03-13 |
| Find all providers in zip 75060 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924819 | Hope Connects Counseling, Pllc | Counselor | 8243 Ranchview Dr Apt 3073, Irving, TX 75063-4139 | 2019-07-17 |
| 1063978096 | Gabrielle Dean | Counselor | 310 S Story Rd # 100, Irving, TX 75060-2333 | 2019-02-14 |
| 1942754734 | Laura Alfonso Brown | Counselor | 1175 Kinwest Pkwy, Irving, TX 75063-3409 | 2016-08-09 |
| 1043670193 | Timberly Lewis | Counselor | 621 E. 2nd Street, Irving, TX 75060 | 2016-03-02 |
| 1992161269 | Tamara Mosley | Counselor | 1000 Lake Carolyn Pkwy Apt 4208, Irving, TX 75039-3935 | 2016-01-02 |
| 1851769814 | Zakia Inyang | Counselor | 1175 Kinwest Parkway, 100, Irving, TX 75063 | 2015-09-08 |
| 1669855003 | John Erik Ege | Counselor | 1404 Weathered St, Irving, TX 75062-6623 | 2015-07-02 |
| 1710227467 | Lauren Patricia Parrish | Counselor | 4851 Regent Blvd Ste 200, Irving, TX 75063-2440 | 2013-02-18 |
| 1790029841 | Paul Dean Allen | Counselor | 5525 N. Macarthur Blvd, Suite 800, Mhn Government Services, Irving, TX 75038 | 2012-11-15 |
| 1124300777 | Kimberly J Daily | Counselor | 1075 Kinwest Pkwy Ste 107, Irving, TX 75063-3411 | 2011-09-09 |
| 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.