<Unavail>

LBN: Mc Medical Llc
<Unavail> is an health care organization with primary practice located at 3820 State Highway 64 W , Tyler TX 75704-6924. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Mc Medical Llc can be contacted via phone (903) 594-4761, or through Henry, Richard via phone (479) 258-2080.

Contact Information

Primary practice address
3820 State Highway 64 W Tyler TX 75704-6924
Phone: (903) 594-4761
Fax: (903) 526-0280
Website:
Map and Directions
Authorized official contact:
Name: Henry, Richard
Phone: (479) 258-2080

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1326455577
LBN Legal business name Mc Medical Llc
DBA Doing business as <Unavail>
Authorized official Henry, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2014
Last updated Nov 22nd, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326455577 NPPES
Texas Other 358648ZHTM MEDICARE PTAN

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