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Contact Information

FUNCTIONALMED.ORG
9710 COUNTY ROAD 2426
TERRELL, TX75160-8825
 Phone: 972-877-7767
 Fax: 972-767-0939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
 

Home Health

251E00000X A4[11] Home Health Agency
 

Nursing Care

251J00000X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for FUNCTIONALMED.ORG

NPI Number 1457658833
LBN Legal business name FUNCTIONALMED.ORG
Authorized official DIANA WOOLVERTON - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2011
Last updated 02/19/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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