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Contact Information

4TH DAN MEDICAL, PLLC
8080 STATE HIGHWAY 121 STE 120
MCKINNEY, TX75070-2902
 Phone: 972-439-3753
 Fax: 972-439-3754
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for 4TH DAN MEDICAL PLLC · (Female)

NPI Number 1407356645
Status Active
Credentials
Entity Individual
Enumeration date 02/14/2018
Last updated 12/08/2021 - About 4 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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