Organization Active NPI

Health and Healing Pediatric Clinic, PLLC

  • Primary Care Clinic/Center
  • Plano, TX
National Provider Identifier
1013382092
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HEALTH AND HEALING PEDIATRIC CLINIC, PLLC
Practice address
3900 W 15TH St Ste 107
Plano, TX 75075-7789
Phone
(972) 964-7773
NPI assigned
Dec 2, 2015
Last updated
Dec 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Muhammad Moin Uddin, M.D.
Title
Ceo
Phone
(806) 640-4872

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3900 W 15TH St Ste 107
Plano, TX 75075-7789

Mailing address

3900 W 15TH St Ste 107
Plano, TX 75075-7789
Phone (972) 964-7773

Other identifiers 1

IdentifierTypeStateIssuer
213476913MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2103210Health and Healing Pediatric Clinic3900 W 15TH Street , Suite 107, Plano, TX 75075Certificate of waiverOct 6, 2027

National Provider Directory

National Provider Directory

Locations

11655 Independence Pkwy
Ste 200
Frisco, TX 75035

1400 N Coit Rd
Ste 106
McKinney, TX 75071

3900 W 15th St
Ste 107
Plano, TX 75075
Phone (972) 964-7773

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1013382092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W 15TH ST STE 107",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757789",
            "telephone_number": "972-964-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W 15TH ST STE 107",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757789",
            "telephone_number": "972-964-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND HEALING PEDIATRIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "MOIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-640-4872",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213476913",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.