Edge-MD Holding PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EDGE-MD HOLDING PLLC

Practice address

1200 W. Walnut Hill Lane
Suite 3950
Irving, TX 75038

Phone

(972) 514-1672

Fax

(214) 699-4397

NPI assigned

Jul 13, 2016

Organization subpart

No

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

Authorized official

Name

Nathan Phuckhac Nguyen

Title

Owner

Phone

(979) 532-2000

Specialties & licenses 1

Addresses

Other names 1

• Medico MD Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Douglas McAllister, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Worth, TX
  • NPI 1316277601
  NPD (past)
• Tu Kim Nguyen, D.D.S.

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1295960599
  NPD (past)
• Nghi Tran, D.D.S.

  • General Practice Dentistry
  • Garland, TX
  • NPI 1538424528
  NPD (past)

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1285086397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W. WALNUT HILL LANE",
            "address_2": "SUITE 3950",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75038",
            "telephone_number": "972-514-1672",
            "fax_number": "214-699-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W. WALNUT HILL LANE",
            "address_2": "SUITE 3950",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75038",
            "telephone_number": "972-514-1672",
            "fax_number": "214-699-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE-MD HOLDING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "PHUCKHAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-532-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medico MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula Yetunda Ebo, FNP
• Ec Opco Irving, LLC
• Gregory A Echt, MD
• William H Eckert Jr., BCBA
• Ildiko Gizella Edenhoffer, M.D.
• Edge-MD Holding PLLC
• Edgewater Freight Services, LLC
• Laura Jean Edmonds, MA, LPC, LCDC
• Educare Community Living Corporation - Texas
• Educare Community Living Corporation - Texas

• Family Medicine Physician in Irving, TX
• Providers in Irving, 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 8, 2018; 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.