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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

NPI Number 1407356645
LBN Legal business name 4TH DAN MEDICAL, PLLC
Authorized official STEVE DUFFY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2018
Last updated 12/08/2021 - About 4 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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