Men's Medical and Wellness, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEN'S MEDICAL AND WELLNESS, PLLC

Practice address

3013 E Renner Rd Ste 120
Richardson, TX 75082-3577

Phone

(469) 931-0684

NPI assigned

Mar 28, 2018

Last updated

Sep 22, 2021By 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

Tim McAuliff, MD

Title

Medical Director

Phone

(469) 931-0684

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1407351604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 W SPRING CREEK PKWY APT 2234",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244912",
            "telephone_number": "940-781-8642",
            "fax_number": "469-931-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 E RENNER RD STE 120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823577",
            "telephone_number": "469-931-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEN'S MEDICAL AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "MCAULIFF",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "469-931-0684",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.