El Shaddai Family Clinic Llc

LBN: El Shaddai Family Clinic Llc
El Shaddai Family Clinic Llc is an health care organization with primary practice located at 1740 W Virginia St Ste 400 , Mckinney TX 75069-7864. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. El Shaddai Family Clinic Llc can be contacted via phone (469) 252-0101, or through Paul, Beena via phone (469) 252-0101.

Contact Information

Primary practice address
1740 W Virginia St Ste 400 Mckinney TX 75069-7864
Phone: (469) 252-0101
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Paul, Beena NP-C
Phone: (469) 252-0101

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 733997 Texas

Profile Details

NPI number 1447680178
LBN Legal business name El Shaddai Family Clinic Llc
DBA Doing business as
Authorized official Paul, Beena NP-C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2013
Last updated Jul 25th, 2019 - about 5 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 1447680178 NPPES
Texas Other 1568773893 INDIVIDUAL NPI

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