PMST Red Oak, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PMST RED OAK, LLC

Practice address

100 Bonham CT Ste a
Red Oak, TX 75154-4665

Phone

(972) 473-8980

Fax

(972) 212-6851

NPI assigned

Sep 6, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Courtney Teal Darden

Title

Ceo

Phone

(972) 473-8980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1356869630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 WINDHAVEN PKWY STE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938022",
            "telephone_number": "972-473-8980",
            "fax_number": "972-212-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BONHAM CT STE A",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544665",
            "telephone_number": "972-473-8980",
            "fax_number": "972-212-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMST RED OAK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "DARDEN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "TEAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-473-8980",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne S Pearson, DENTIST
• Amy Kristine Pena, M.S., CCC-SLP
• Jason Scott Phillips, DC
• Rebeca E Piantini Alvarez, MD
• John Shawn Piper, RPH
• Lindsay Dawn Porter, MD
• Stewart Glen Powers, DDS
• Quicktime Fitness
• Brenda Rene Quintana, PHD
• Rallie Express 365

• Physical Medicine & Rehabilitation Physician in Red Oak, TX
• Providers in Red Oak, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.