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EPIC HEALTHCARE AND PHYSICAL MEDICINE NPI 1518205483


NPI Information

NPI: 1518205483
Provider Name: EPIC HEALTHCARE AND PHYSICAL MEDICINE
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 45D2179268

Address:
1681 JUSTIN RD
SUITE 100
FLOWER MOUND, TX
ZIP 75028
Phone: (972) 420-0083
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EPIC HEALTHCARE AND PHYSICAL MEDICINE is a general practice in Flower Mound, 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 EPIC HEALTHCARE AND PHYSICAL MEDICINE NPI is 1518205483. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1681 JUSTIN RD
SUITE 100
FLOWER MOUND, TX
ZIP 75028-323
Phone: (972) 420-0083

The provider's authorized official is Carlos Venegas .
The authorized official title is Owner and has the following contact phone number (214) 542-0321.

The CLIA number assigned to this NPI record is 45D2179268 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2013 and was last updated on 1/28/2013.


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 Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeK0566TEXASYes

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

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