Richardson Walk in Clinic PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

L1083 Issued in TX

Legal business name

RICHARDSON WALK IN CLINIC PLLC

Practice address

930 E Campbell Rd
Suite 106
Richardson, TX 75081-2047

Phone

(956) 545-1694

NPI assigned

Jun 29, 2012

Organization subpart

No

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

Authorized official

Name

Michael Jeffrey Jenks, M.D.

Title

Manager

Phone

(956) 545-1694

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1427312859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E CAMPBELL RD",
            "address_2": "SUITE 106",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812047",
            "telephone_number": "956-545-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 E CAMPBELL RD",
            "address_2": "SUITE 106",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812047",
            "telephone_number": "956-545-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON WALK IN CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "JENKS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "956-545-1694",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "L1083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richardson Spine and Sports Therapy Center LLC
• Richardson TX Homecare LLC
• Richardson Vision & Contact Lens Clinic, PC
• Richardson Vision Center
• Richardson Vision LLC
• Richardspn Dental Professionals
• Taylor Richie
• Richland Oaks Counseling Center
• Richland Oaks Psychological Associates
• Judith Ann Rickard

• Primary Care Clinic/Center in Richardson, TX
• Providers in Richardson, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.