Organization Active NPI

CMHG Medical LLC

  • Point of Service
  • Plano, TX
National Provider Identifier
1104397173
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
CMHG MEDICAL LLC
Practice address
5228 Village Creek Dr Ste 101
Plano, TX 75093-4431
Phone
(214) 817-4220
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
David Clark
Title
Manager
Phone
(214) 817-4221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

5228 Village Creek Dr Ste 101
Plano, TX 75093-4431

Mailing address

5228 Village Creek Dr Ste 101
Plano, TX 75093-4431
Phone (214) 817-4221

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1104397173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 VILLAGE CREEK DR STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934431",
            "telephone_number": "214-817-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 VILLAGE CREEK DR STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934431",
            "telephone_number": "214-817-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMHG MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-817-4221"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 25, 2022; 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.