CHIROHEALTH MEDICAL AND ANCILLARY SERVICES, LLC (NPI# 1366899833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366899833 |
| Entity Type | Organization |
| Organization Name | CHIROHEALTH MEDICAL AND ANCILLARY SERVICES, LLC |
| Other Organization Name | FRISCO FAMILY HEALTHCARE CLINIC |
| Practice Address |
4112 Legacy Dr Ste 326 Frisco TX 75034-0811 |
| Mailing Address |
4112 Legacy Dr Suite 326 Frisco TX 75034-0810 |
| Practice Telephone | 2148721232 |
| Mailing Telephone | 2148721232 |
| Enumeration Date | 2016-05-15 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | MEE OK KIM (PRESIDENT, PROVIDER) |
| Authorized Official Telephone | 2148721232 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AP123278 | TX | Ambulatory Health Care Facilities |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Frisco Family Healthcare Clinic | Doing Business As Name - Organization |
| Street Address |
4112 LEGACY DR STE 326 |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-0811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780168716 | Corey Nicholas Strunk | Chiropractor | 4112 Legacy Dr Ste 326, Frisco, TX 75034-0811 | 2018-09-15 |
| 1023591609 | Melia Laree Gentry | Massage Therapist | 4112 Legacy Dr Ste 326, Frisco, TX 75034-0811 | 2018-09-11 |
| 1417438458 | Prohealth Rehab & Wellness LLC | Home Health | 4112 Legacy Dr Ste 326, Frisco, TX 75034-0811 | 2018-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980363 | Carla Larue Mosby | Nurse Practitioner | 10150 Bowling Green Dr, Frisco, TX 75035-6984 | 2020-10-23 |
| 1932707783 | Gabrielle Black | Nurse Practitioner | 4664 Driftwood Dr, Frisco, TX 75034-5132 | 2020-10-14 |
| 1699386888 | Biraj B Shah | Nurse Practitioner | 14611 Snowshill Dr, Frisco, TX 75035-7233 | 2020-08-12 |
| 1023637303 | Sandra Igbinehi Abusomwan | Nurse Practitioner | 12436 Daisy Ln, Frisco, TX 75035-0716 | 2020-04-16 |
| 1679106272 | Laarni Catudan Mendoza | Nurse Practitioner | 7829 Marine Blue Dr, Frisco, TX 75035-3107 | 2020-02-21 |
| 1457984890 | Bhavishaben Patel | Nurse Practitioner | 2811 Internet Blvd, Frisco, TX 75034-2029 | 2020-02-13 |
| 1336795087 | Waymaker Health Services LLC | Nurse Practitioner | 2831 Eldorado Pkwy # 103-322, Frisco, TX 75033-7438 | 2019-08-16 |
| 1285286492 | Blen Daniel | Nurse Practitioner | 11676 Chaucer Dr, Frisco, TX 75035-8637 | 2019-07-09 |
| 1669038287 | Meagan Marie Woods | Nurse Practitioner | 5355 Dallas Pkwy Ste 620, Frisco, TX 75034-7973 | 2019-05-20 |
| 1033682844 | Christine Mayer | Nurse Practitioner | 12828 Eldorado Pkwy, Frisco, TX 75035-5883 | 2019-01-03 |
| Find all providers in FRISCO | ||||
Please comment or provide details below to improve the information on CHIROHEALTH MEDICAL AND ANCILLARY SERVICES, LLC.
| 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.