Medical Diagnostic Services, PLLC
General Practice in Allen, TX. Organization (NPI-2).
NPI number1104325083
StatusActive
Last updated in NPPESJul 23, 2020
Details
- NPI
- 1104325083
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Diagnostic Services, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 6, 2018
- Certification date
- Jul 23, 2020
- Last updated
- Jul 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
190 E Stacy Rd Ste 306-228Allen, TX 75002-8734
Phone 469-250-0273
Mailing address
190 E Stacy Rd Ste 306-228Allen, TX 75002-8734
Phone 469-453-0300 · Fax 469-250-1273
Authorized official
Timothy McAuliff
Director
4694530300
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