ST M HEALTH PLLC NPI 1114783933

NPI Information

NPI: 1114783933
Provider Name: ST M HEALTH PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1616 GATEWAY BLVD STE D
RICHARDSON, TX
ZIP 75080
Phone: (469) 964-4902
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ST M HEALTH PLLC is a general practice in Richardson, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ST M HEALTH PLLC NPI is 1114783933. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1616 GATEWAY BLVD STE D
RICHARDSON, TX
ZIP 75080-529
Phone: (469) 964-4902
Fax: (877) 203-5846

The provider's authorized official is Kirk Leblanc .
The authorized official title is Owner and has the following contact phone number (469) 964-4902.

The enumeration date for this NPI number is 2/28/2024 and was last updated on 3/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	163W00000X	Registered Nurse	No
2	164W00000X	Licensed Practical Nurse	No
3	164X00000X	Licensed Vocational Nurse	No
4	208D00000X	General Practice	Yes
5	224Z00000X	Occupational Therapy Assistant	No
6	225100000X	Physical Therapist	No
7	225200000X	Physical Therapy Assistant	No
8	225X00000X	Occupational Therapist	No
9	235Z00000X	Speech-Language Pathologist	No
10	374U00000X	Home Health Aide	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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