Promenade Family Medicine
LBN: Adam S. Miner, Md, Pa
Promenade Family Medicine is an health care organization with primary practice located at 1120 W Campbell Rd Suite 111, Richardson TX 75080-2976. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Adam S. Miner, Md, Pa can be contacted via phone (972) 234-6868, or through Miner, Adam S via phone (972) 234-6868.
Contact Information
Primary practice address
1120 W Campbell Rd Suite 111
Richardson TX 75080-2976
Phone: (972) 234-6868
Fax: (972) 238-1235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J2689 | Texas |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | J2689 | Texas |
Profile Details
| NPI number | 1245416619 |
|---|---|
| LBN Legal business name | Adam S. Miner, Md, Pa |
| DBA Doing business as | Promenade Family Medicine |
| Authorized official | Miner, Adam S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 16th, 2008 |
| Last updated | May 15th, 2009 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245416619 | NPPES |
| Texas | MEDICAID | 080185401 |
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