MEDINA PRIMARY CARE PLLC (NPI# 1922544592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922544592 |
| Entity Type | Organization |
| Organization Name | MEDINA PRIMARY CARE PLLC |
| Other Organization Name | MEDINA PRIMARY CARE |
| Practice Address |
4013 14th St 401 Plano TX 75074-7125 |
| Practice Telephone | 9724569292 |
| Practice Fax Number | 9724569393 |
| Mailing Telephone | 9724569292 |
| Mailing Fax Number | 9724569393 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | MIR MAJID ALI (PHYSICAN OWNER) |
| Authorized Official Telephone | 9724569292 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Q6929 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 368903601 | 05 |
| Other Name | Type Code |
|---|---|
| Medina Primary Care | Doing Business As Name - Organization |
| Street Address |
4013 14TH ST 401 |
| City | PLANO |
| State | TX |
| Zip Code | 75074-7125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942208657 | Henry T Liao | Dentist | 4013 14th St, Suite #413, Plano, TX 75074-7125 | 2005-07-07 |
| 1588022800 | Heal 360 Primary Care Pllc | Family Medicine | 4013 14th St, 401b, Plano, TX 75074-7125 | 2016-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003433764 | All Meds Rx | Pharmacy | 2520 Avenue K, Suite 600, Suite 600, Plano, TX 75074 | 2020-06-29 |
| 1457985582 | Neighborhood Portable X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K Suite 109, Plano, TX 75074 | 2020-02-27 |
| 1063044113 | Q Day Walk In Clinic and Spa, LLC | Clinic/Center | 3560 East Park Blvd., Plano, TX 75074 | 2020-02-06 |
| 1891326765 | Kelly Joe Stanley | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K, 109, Plano, TX 75074 | 2020-01-30 |
| 1568016137 | Virtex Assist, Pllc | Physician Assistant | 101 E Park Blvd Suite 600, Plano, TX 75074 | 2019-07-31 |
| 1154804128 | Norte Service Providers LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2917 Duchess Trail, Plano, TX 75074 | 2018-09-14 |
| 1386124428 | Jakayla Nekelle Price | Occupational Therapist | 3612 Kite Landing Ln., Plano, TX 75074 | 2018-08-17 |
| 1568948834 | Sarah Lindsey Binion | Counselor | 101 East Park Blvd., Suite 600, Plano, TX 75074 | 2018-07-19 |
| 1659865327 | Tim Ford | Technician, Other | 6829 Ave K, Suite 105, Plano, TX 75074 | 2018-06-18 |
| 1043708019 | Oak Point Surgical Suites LLC | Clinic/Center | 2201 K Ave Ste B-100, Plano, TX 75074 | 2018-04-25 |
| Find all providers in zip 75074 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414321 | Crate of Papaya LLC | Clinic/Center | 6320 Woodway Ln, Plano, TX 75093-7903 | 2020-07-10 |
| 1194293795 | Rajani Rao Md Pllc | Clinic/Center | 2237 W Parker Rd Ste D, Plano, TX 75023-7800 | 2018-11-13 |
| 1437644036 | Hennen Chiropractic Neurology and Wellness | Clinic/Center | 4105 W Spring Creek Pkwy Ste 510, Plano, TX 75024-5294 | 2018-06-26 |
| 1497277420 | Resolute Specialty Imaging | Clinic/Center | 7711 San Jacinto Pl Ste 200, Plano, TX 75024-3296 | 2017-07-11 |
| 1073064218 | Eating Recovery Center of Texas | Clinic/Center | 4716 Alliance Blvd Ste 400, Plano, TX 75093-5303 | 2016-10-24 |
| 1306395884 | Ambulatory 22 | Clinic/Center | 5760 Legacy Dr, Suite B-325, Plano, TX 75024-7102 | 2016-09-26 |
| 1487100319 | Dallas County Hospital District D/b/a Parkland Health and Hospital Sys | Clinic/Center | 1900 Harrington Dr, Plano, TX 75075-2714 | 2016-08-31 |
| 1124400197 | Texas Premier Ob/gyn Center Pllc | Clinic/Center | 5934 W Parker Rd Ste 500, Plano, TX 75093-6429 | 2015-06-25 |
| 1962747634 | Hitesh Yagnik, Md Pa | Clinic/Center | 5930 W.parket Road, Suite 900, Plano, TX 75093 | 2012-12-06 |
| 1366787061 | Jeffrey Adelglass Md Pa | Clinic/Center | 6020 W Parker Rd Ste 400, Plano, TX 75093-8175 | 2012-12-06 |
| Find all providers in PLANO | ||||
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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.