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KING FAMILY MEDICAL PLLC NPI 1104164508


NPI Information

NPI: 1104164508
Provider Name: KING FAMILY MEDICAL PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2062678

Address:
5750 BUNKER HILL RD
GARLAND, TX
ZIP 75048
Phone: (972) 675-5300
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KING FAMILY MEDICAL PLLC is a family medicine in Garland, 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. KING FAMILY MEDICAL PLLC NPI is 1104164508. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5750 BUNKER HILL RD
GARLAND, TX
ZIP 75048
Phone: (972) 675-5300
Fax: (972) 675-5301

The provider's authorized official is Scott L King .
The authorized official title is Owner/president and has the following contact phone number (972) 675-5300.

The CLIA number assigned to this NPI record is 45D2062678 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/21/2013 and was last updated on 10/2/2014.


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 MedicineK8927TEXASYes

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
1291565MEDICARE UPINTEXAS

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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