Ridge Road Medical Center Pa

LBN: Ridge Road Medical Center Pa
Ridge Road Medical Center Pa is an health care organization with primary practice located at 2306 Ridge Rd , Rockwall TX 75087-5140. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Ridge Road Medical Center Pa can be contacted via phone (972) 771-8316, or through Mckenney, Carl K via phone (972) 771-8316.

Contact Information

Primary practice address
2306 Ridge Rd Rockwall TX 75087-5140
Phone: (972) 771-8316
Fax: (972) 722-9214
Website:
Map and Directions
Authorized official contact:
Name: Mckenney, Carl K Doctor of Osteopathy (DO)
Phone: (972) 771-8316

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1366488512
LBN Legal business name Ridge Road Medical Center Pa
DBA Doing business as
Authorized official Mckenney, Carl K Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 26th, 2010 - about 16 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 1366488512 NPPES
Texas MEDICAID 091844301
Texas MEDICAID 091844302

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