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Contact Information

MD SPECIALTY GROUP LLC
1140 EMPIRE CENTRAL DR STE 360
DALLAS, TX75247-4304
 Phone: 972-600-8438
 Fax: 214-631-4702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Brain Injury Medicine

2084P0301X 86 Physician/Neuropsychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Medical Toxicology

2083T0002X 84 Physician/Preventive Medicine
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Podiatrist

213E00000X 48 Podiatry
 

Professional

101YP2500X
 

Prosthetist

224P00000X 56 Individual Certified Prosthetist
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for MD SPECIALTY GROUP LLC · (Female)

NPI Number 1558017962
Status Active
Credentials
Entity Individual
Enumeration date 02/24/2022
Last updated 09/26/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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