PRUDENTIAL MEDICAL NETWORK, LP (NPI# 1003025784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003025784 |
| Entity Type | Organization |
| Organization Name | PRUDENTIAL MEDICAL NETWORK, LP |
| Practice Address |
5455 Honeysuckle Rd Midlothian TX 76065-7006 |
| Practice Telephone | 9725679571 |
| Practice Fax Number | 8175636934 |
| Mailing Telephone | 9725679571 |
| Mailing Fax Number | 8175636934 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KELLY DEAN SANDERS (CO PRESIDENT) |
| Authorized Official Telephone | 8177149066 |
| Authorized Official Credential | OPA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
5455 HONEYSUCKLE RD |
| City | MIDLOTHIAN |
| State | TX |
| Zip Code | 76065-7006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740683317 | Innovatech Medical Resources, Lp | Durable Medical Equipment & Medical Supplies | 5455 Honeysuckle Rd, Midlothian, TX 76065-7006 | 2014-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1568085033 | Kyle Jason Mitchell | Social Worker | 4025 E Us 287, Midlothian, TX 76065 | 2020-05-19 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1669939336 | John Morgan Buie | Dentist | 2410 Fm 663, Suite 200, Midlothian, TX 76065 | 2019-02-28 |
| 1891264685 | Aaric Shammah Services LLC | Community/Behavioral Health | 6610 Dempsey Ln, Midlothian, TX 76065 | 2018-11-21 |
| 1952883399 | Tabitha Jayne Schwark | Occupational Therapy Assistant | 938 Mill Pond Dr., Midlothian, TX 76065 | 2018-09-01 |
| 1306348867 | Linda Susan Rose | Licensed Vocational Nurse | 4081 Walnut Ln, Midlothian, TX 76065 | 2018-03-01 |
| 1922524362 | Jacqueline C. Avalos | Counselor | 5431 Montgomery Rd., Midlothian, TX 76065 | 2017-08-17 |
| 1215322169 | Midtown 2013 Re, LLC | Assisted Living Facility | 910 S. 9th Street, Midlothian, TX 76065 | 2015-03-30 |
| 1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
| Find all providers in zip 76065 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779210 | Knj Holdings LLC | Durable Medical Equipment & Medical Supplies | 4014 Arbor Grove Trl, Midlothian, TX 76065-1788 | 2020-08-06 |
| 1851889497 | Central Virginia Home Services LLC | Durable Medical Equipment & Medical Supplies | 1910 Old Hundred Rd, Midlothian, VA 23114-7003 | 2018-04-30 |
| 1730601782 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 2200 Fm 663, Midlothian, TX 76065-5600 | 2017-07-12 |
| 1750818910 | Arlington Orthopedic Associates, Pa | Durable Medical Equipment & Medical Supplies | 1441 S Midlothian Pkwy Ste 130, Midlothian, TX 76065-5592 | 2017-05-18 |
| 1982908810 | Stacey Worthington | Durable Medical Equipment & Medical Supplies | 8437 Hillcreek Dr, Midlothian, VA 23112-6807 | 2011-01-06 |
| 1225345044 | Cloud Managed Services Group, Inc | Durable Medical Equipment & Medical Supplies | 1212 Alverser Plz, Midlothian, VA 23113-2628 | 2010-09-01 |
| 1780831461 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 151 Pike View Drive, Midlothian, VA 23113 | 2008-08-25 |
| 1447406012 | Commonwealth Hearing Centersllc | Durable Medical Equipment & Medical Supplies | 5950 Harbour Park Dr, Midlothian, VA 23112-2163 | 2008-08-14 |
| 1760696082 | Colonial Orthopaedics Inc | Durable Medical Equipment & Medical Supplies | 6055 Harbour Park Dr, Midlothian, VA 23112-2160 | 2007-05-09 |
| 1043434475 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 13620 Genito Rd, Midlothian, VA 23112 | 2007-04-13 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 76065 |
Please comment or provide details below to improve the information on PRUDENTIAL MEDICAL NETWORK, LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.