Three Angels MHT LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

024087 Issued in LA

Legal business name

THREE ANGELS MHT LLC

Practice address

1575 Heritage Dr
Suite 205
McKinney, TX 75069-3288

Phone

(844) 633-4663

NPI assigned

Mar 27, 2015

Organization subpart

No

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

Authorized official

Name

Emily Jordan, MD

Title

VP of Payer Relations

Phone

(469) 307-5822

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1154715167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HERITAGE DR",
            "address_2": "SUITE 205",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693288",
            "telephone_number": "844-633-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HERITAGE DR",
            "address_2": "SUITE 205",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693288",
            "telephone_number": "844-633-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE ANGELS MHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "VP OF  PAYER RELATIONS",
        "authorized_official_telephone_number": "469-307-5822",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "024087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy J Thornell, LMSW
• Jason Bryan Thornton
• Leuwiskah Garmon Thornton, APRN
• Raven Rachelle Thousand, EDD, LPC
• Richard D Thrasher III, MD
• Thriving Minds Counseling PLLC
• Lisa Tibbets, LPC ASSOCIATE
• Jerrion Tidwell
• Tikvah Christian Counseling and Brainspotting PLLC
• Julie Elaine Wilson Tillerson, M.A., LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.