Hebron Physical Medicine PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

HEBRON PHYSICAL MEDICINE PC

Doing business as

Trinity Integrated Medical

Practice address

1629 W Hebron Pkwy
Carrollton, TX 75010-6334

Phone

(972) 478-5538

Fax

(972) 820-7177

NPI assigned

Mar 7, 2017

Reactivated

Mar 7, 2017

Last updated

Nov 16, 2022By 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

Danielle Peck

Title

Office Manager

Phone

(972) 478-5538

Specialties & licenses 2

Addresses

Other names 1

• Trinity Integrated Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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.

• Shukura Leo, DC

  • Family Nurse Practitioner
  • Allen, TX
  • NPI 1164786380
  Medicare reassignment Care Compare group NPD
• Timothy Uselton, DC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Carrollton, TX
  • NPI 1730117599
  Medicare reassignment Care Compare group NPD
• David Kuang Liang, DC

  • Chiropractor
  • Plano, TX
  • NPI 1932127123
  NPD (past)
• Neeraj B. Shah, M.D.

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1205968757
  NPD (past)

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1144760364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 W HEBRON PKWY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106334",
            "telephone_number": "972-478-5538",
            "fax_number": "972-820-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 W HEBRON PKWY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106334",
            "telephone_number": "972-478-5538",
            "fax_number": "972-820-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBRON PHYSICAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "deactivation_date": "2017-03-07",
        "reactivation_date": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-478-5538"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "7350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Integrated Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Integrated Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hebron Family Dental & Orthodontics
• Hebron Family Dental PLLC (Hebron Family Dental)
• Hebron Orthodontics PLLC
• Hebron Pediatrics PLLC
• Hebron Pharmacy LLC (Hebron Pharmacy)
• Hebron Smiles
• Rafia Heerji
• Keith A Heier, M.D.
• Annette Helmcamp, PHD
• Henry a Campbell D D S P a

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.