PERONICA MCNAIR (NPI# 1962966614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962966614 |
| Entity Type | Individual |
| Full Name | PERONICA MCNAIR |
| Practice Address |
2100 N Hwy 360 Ste 2200a Grand Prairie TX 75050-1043 |
| Mailing Address |
8063 Vista Hill Ln Dallas TX 75249-2031 |
| Practice Telephone | 9728168067 |
| Mailing Telephone | 9728168067 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
1170077 | TX | Other Service Providers |
| Street Address |
2100 N HWY 360 STE 2200A |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75050-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539695 | Christopher Bachman | Physical Therapy Assistant | 2045 Hwy 360, #100b, Grand Prarie, TX 75050 | 2018-02-21 |
| 1003335233 | L & B Group Home LLC | In Home Supportive Care | 605 E Palace Pkwy Ste, B4, Grand Prairie, TX 75050 | 2017-09-19 |
| 1073054748 | Smileeasy Dental Grand Prairie, Pllc | Dentist | 2650 S Hwy 161, Grand Prairie, TX 75050 | 2017-03-15 |
| 1164966651 | Prime Diagnostic Imaging of Irving, LLC | Clinic/Center | 2210 Paddock Way, Grand Prairie, TX 75050 | 2016-12-19 |
| 1366801037 | Monica Simpson | Counselor | 2080 N Hwy 360, Ste 430, Grand Prairie, TX 75050 | 2016-02-23 |
| 1437545845 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1000 Post and Paddock Street, #305, Grand Prairie, TX 75050 | 2015-04-13 |
| 1912304593 | Tenishia Chintankwa | Non-emergency Medical Transport (VAN) | 2403 Doreen St, Grand Prairie, TX 75050 | 2014-11-26 |
| 1780023192 | Holland Surgical Group | Physician Assistant | 201 West Tarrant Rd. #1420, Grand Prairie, TX 75050 | 2013-06-19 |
| 1174962823 | Occumed Plus-grand Prairie | General Practice | 805 W. North Carrier Pkwy, 260, Grand Prairie, TX 75050 | 2013-06-17 |
| 1497099618 | Sorai Susanne S Stuart | Counselor | 2825 N. State Hwy 360, 710, Grand Prairie, TX 75050 | 2012-11-15 |
| Find all providers in zip 75050 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364390 | Majoreactions LLC | Specialist | 1628 W Hebron Pkwy Ste 103, Carrollton, TX 75010-6311 | 2020-10-22 |
| 1821602418 | Minty Bea | Specialist | 11070 Katy Fwy Apt 1271, Houston, TX 77043-4765 | 2020-09-01 |
| 1073123543 | Connie Lavonne Reid | Specialist | 216 Abel Dr, Glenn Heights, TX 75154-3862 | 2020-08-08 |
| 1245840933 | Shanikqu Lashun George | Specialist | 1515 N. Towneast Blvd., Suite 19, Mesquite, TX 75150 | 2020-08-06 |
| 1700495835 | Jonesia Melton | Specialist | 210 Highway 3 N Ste B, League City, TX 77573-2132 | 2020-07-24 |
| 1649888223 | Terry Lamont Jackson | Specialist | 1101 E Yandell Dr, El Paso, TX 79902-5524 | 2020-07-20 |
| 1033727656 | Janaye Rachelle White | Specialist | 8413 Almeda Rd Ste Q2, Houston, TX 77054-7103 | 2020-07-20 |
| 1316555022 | Eric Martell Buffington | Specialist | 16811 Fondness Park Dr, Spring, TX 77379-6928 | 2020-07-20 |
| 1720696479 | Younits Custom Wigs LLC | Specialist | 4909 W Park Blvd Ste 157, Plano, TX 75093-2399 | 2020-07-20 |
| 1003432089 | Tamika N Brown | Specialist | 12521 Nacogdoches Rd Ste 106, San Antonio, TX 78217-2117 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75050 |
Please comment or provide details below to improve the information on PERONICA MCNAIR.
| 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.