Medstream Wellness Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDSTREAM WELLNESS MEDICAL GROUP

Practice address

1505 Harroun Ave
Ste C
McKinney, TX 75069-3432

Phone

(469) 619-3080

Fax

(469) 252-3509

NPI assigned

Aug 3, 2010

Last updated

Jan 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vicki B Davis, M.D.

Title

Medical Doctor

Phone

(469) 619-3080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1053625996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 HARROUN AVE STE C",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693433",
            "telephone_number": "469-952-6400",
            "fax_number": "469-952-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 HARROUN AVE",
            "address_2": "STE C",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693432",
            "telephone_number": "469-619-3080",
            "fax_number": "469-252-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTREAM WELLNESS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "469-619-3080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medrocs Corporation LLC
• Medrocs Corporation LLC (Medrocs Pharmacy)
• Medspring of Texas, PA
• Medstream Healthcare Associates
• Medstream Wellness Medical Group
• Sherry Meeks, LPC
• Ellen Francine Cavalcanti Mehta, MSN, APRN, FNP-C
• Cindy Kay Mejia, RN
• Lauren Mekaowulu, LVN
• Mel McKinney LLC (My Eyelab McKinney)

• Family Medicine Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.