Organization Active NPI

D&C Medical Associates

  • Family Medicine Physician
  • Crockett, TX
National Provider Identifier
1508096553
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LL6742 Issued in TX
Legal business name
D&C MEDICAL ASSOCIATES
Practice address
1100 Loop 3048 East
Suite 200
Crockett, TX 75835
Phone
(903) 723-7178
Fax
(903) 723-8252
NPI assigned
Jul 23, 2009
Last updated
Jul 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Dr. Craig M McMullen, MD
Title
President
Phone
(903) 723-7178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL6742 TX Primary

Addresses

Primary practice location

1100 Loop 3048 East
Suite 200
Crockett, TX 75835

Mailing address

PO Box 362
Palestine, TX 75802-0362
Phone (903) 723-7178

National Provider Directory

National Provider Directory

Locations

2650 FM 407 E
#145146
Bartonville, TX 76226

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1508096553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758020362",
            "telephone_number": "903-723-7178",
            "fax_number": "903-723-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LOOP 3048 EAST",
            "address_2": "SUITE 200",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "75835",
            "telephone_number": "903-723-7178",
            "fax_number": "903-723-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&C MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-723-7178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "LL6742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crockett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.