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Contact Information

ACCOMMODATING MEDICAL PROVIDERS OF TEXAS, PLLC
3008 BAYSIDE DR
ROCKWALL, TX75087-5307
 Phone: 469-951-9984
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ACCOMMODATING MEDICAL PROVIDERS OF TEXAS, PLLC

NPI Number 1528394806
LBN Legal business name ACCOMMODATING MEDICAL PROVIDERS OF TEXAS, PLLC
Authorized official MECHIELL TUCKER - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/21/2009
Last updated 01/27/2022 - About 4 years ago
Identifiers
TX License # PA02092
TX Medicaid 117763
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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