Pleasant Grove Family Medical Clinic, Pa

LBN: Pleasant Grove Family Medical Clinic, Pa
Pleasant Grove Family Medical Clinic, Pa is an health care organization with primary practice located at 2959 S Buckner Blvd Ste 700, Dallas TX 75227-6945. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Pleasant Grove Family Medical Clinic, Pa can be contacted via phone (214) 206-4974, or through Hoffman, Michael D via phone (214) 358-0090.

Contact Information

Primary practice address
2959 S Buckner Blvd Ste 700 Dallas TX 75227-6945
Fax: (214) 206-4979
Website:
Authorized official contact:
Name: Hoffman, Michael D Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1417915125
LBN Legal business name Pleasant Grove Family Medical Clinic, Pa
DBA Doing business as
Authorized official Hoffman, Michael D Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Apr 9th, 2012 - about 12 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 1417915125 NPPES
Texas MEDICAID 178058703

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