Medlock, Virgil B
Medlock, Virgil B is an individual health care provider with primary practice located at 3900 Junius St Suite 500, Dallas TX 75246-1615. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Medlock, Virgil B can be contacted via phone (214) 823-7090.Contact Information
Primary practice address
3900 Junius St Suite 500
Dallas TX 75246-1615
Phone: (214) 823-7090
Fax: (214) 823-1644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | K3615 | Texas |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | K3615 | Texas |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | K3615 | Texas |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | K3615 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | K3615 | Texas |
Profile Details
| NPI number | 1083604458 |
|---|---|
| LBN Legal business name | Medlock, Virgil B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Sep 28th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083604458 | NPPES |
| Texas | Other | 8A5019 | BCBS |
| Texas | MEDICAID | 152255901 | BCBS |
| Texas | MEDICAID | 152255902 | BCBS |
| Texas | MEDICAID | 152255903 | BCBS |
Popular Providers
-
Paschal, Scott Owen
7115 Greenville Ave Ste 310, Dallas TX 75231-5103 -
Lancaster, James M
3900 Junius St Suite 500, Dallas TX 75246-1615 -
Montgomery, James B
7115 Greenville Ave Ste 310, Dallas TX 75231-5100 -
Highgenboten, Carl L
7777 Forest Ln Ste. C-106, Dallas TX 75230-2505 -
Hansen, Phillip E
3900 Junius St Suite 500, Dallas TX 75246-1615 -
Hopkins, Shelton G
7777 Forest Ln Ste. C-106, Dallas TX 75230-2505 -
Dowling, Kevin Price
17218 Preston Rd # 2000 , Dallas TX 75252-4018 -
Wharton, George W.
1341 W. Mockingbird Ln Mockingbird Towers, Suite 710E, Dallas TX 75247