Buckhalter Holdings LLC

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

BUCKHALTER HOLDINGS LLC

Doing business as

MedMark Allied

Practice address

4100 Spring Valley Rd
659
Farmers Branch, TX 75244-3629

Phone

(954) 940-0379

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Ashley V Buckhalter

Title

Managing Member

Phone

(954) 940-0379

Specialties & licenses 1

Addresses

Other names 1

• MedMark Allied Doing business as

Locations

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1194197756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SPRING VALLEY RD",
            "address_2": "659",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752443629",
            "telephone_number": "954-940-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SPRING VALLEY RD",
            "address_2": "659",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752443629",
            "telephone_number": "954-940-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHALTER HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "BUCKHALTER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-940-0379",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedMark Allied",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.