HERITAGE X-RAY CORPORATION (NPI# 1750457099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750457099 |
Entity Type | Organization |
Organization Name | HERITAGE X-RAY CORPORATION |
Practice Address |
1441 N Redbud Blvd Ste 110 Mckinney TX 75069-3233 |
Practice Telephone | 9725489649 |
Practice Fax Number | 9725424501 |
Mailing Telephone | 9725489649 |
Mailing Fax Number | 9725424501 |
Enumeration Date | 2006-11-28 |
Last Update Date | 2012-03-29 |
Authorized Official Name | DR. RICHARD BOATMAN (PRESIDENT) |
Authorized Official Telephone | 9725489649 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
R15466 | TX | Ambulatory Health Care Facilities |
Street Address |
1441 N REDBUD BLVD STE 110 |
City | MCKINNEY |
State | TX |
Zip Code | 75069-3233 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063026029 | Tiffany Lynn Lowery | Family Medicine | 103 East Lamar St, Mckinney, TX 75069 | 2020-09-06 |
1689285603 | Heather Nicole Hester | Social Worker | 4601 Medical Drive Ste F, Mckinney, TX 75069 | 2020-08-13 |
1114552916 | Wonderfully Made Wellness Sanctuary | Nurse Practitioner | 105 S. Tennessee Street Suite 102, Mckinney, TX 75069 | 2020-03-12 |
1477030385 | Kristyn Lowe | Licensed Vocational Nurse | 110 E Louisiana, Suite 201-amp, Mckinney, TX 75069 | 2018-07-24 |
1710464631 | Shasta Massey | Registered Nurse | 110 E Louisinana, Suite 201-amp, Mckinney, TX 75069 | 2018-07-24 |
1215414149 | Allison Marion | Registered Nurse | 110 E Louisiana St, Suite 201-amp, Mckinney, TX 75069 | 2018-07-24 |
1497273759 | Kim C. Carson | Counselor | 201 W. Virginia Suite 203, Mckinney, TX 75069 | 2017-09-06 |
1629596283 | Christy Lynne Billings | Counselor | 101 W. Louisiana St. Suite # 208, Mckinney, TX 75069 | 2017-09-05 |
1932623626 | Lauren Broadbent | Speech-Language Pathologist | 265 Plateau Drive, Mckinney, TX 75069 | 2017-08-03 |
1932623147 | Lindsey Ann Gillespie | Nurse Practitioner | 4561 Medical Center Drive, Mckinney, TX 75069 | 2017-07-29 |
Find all providers in zip 75069 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821042805 | Mckinney Open Mri LLC | Clinic/Center | 1717 W University Dr, Suite 405, Mckinney, TX 75069-3218 | 2006-05-22 |
1932440542 | Baylor Regional Medical Center At Plano | Clinic/Center | 8080 State Highway 121, # 210a, Mckinney, TX 75070-2900 | 2013-03-06 |
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1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
1740814029 | Venus Mri & Women's Center, LLC | Clinic/Center | 24721 Tomball Pkwy Ste 150, Tomball, TX 77375-7727 | 2020-02-26 |
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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.