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IRVING COPPELL PRIMARY CARE DOCTORS PLLC NPI 1871973867


NPI Information

NPI: 1871973867
Provider Name: IRVING COPPELL PRIMARY CARE DOCTORS PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
309 REGENCY PKWY
SUITE #107
MANSFIELD, TX
ZIP 76063
Phone: (972) 905-3915
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IRVING COPPELL PRIMARY CARE DOCTORS PLLC is a family medicine in Mansfield, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. IRVING COPPELL PRIMARY CARE DOCTORS PLLC NPI is 1871973867. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

309 REGENCY PKWY
SUITE #107
MANSFIELD, TX
ZIP 76063-165
Phone: (972) 905-3915
Fax: (940) 205-4525

The provider's authorized official is Vijayalakshmi Raghu .
The authorized official title is Owner/provider and has the following contact phone number (972) 905-3915.

The enumeration date for this NPI number is 6/4/2015 and was last updated on 10/21/2015.


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
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1439112MEDICARE PINTEXAS

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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