Active NPI
MC Medical LLC
Doing business as Walmart Health
- General Practice Physician
- Palestine, TX
National Provider Identifier
1508272444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MC MEDICAL LLC
- Doing business as
- Walmart Health
- Practice address
- 2223 S Loop 256
Palestine, TX 75801-4701 - Phone
- (903) 729-9501
- Fax
- (903) 729-9503
- NPI assigned
- Jul 10, 2014
- Last updated
- Mar 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Henry
- Title
- Enrollment Manager
- Phone
- (479) 258-2080
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2223 S Loop 256
Palestine, TX 75801-4701
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0445
Phone (479) 204-8550
Other practice location 1
2727 Dunvale Rd Unit D
Houston, TX 77063-4401
Phone (479) 258-2080
Other practice location 2
4412 North Fwy Unit X
Houston, TX 77022-3606
Phone (479) 258-2080
Other practice location 3
202 US Highway 80 E
Mesquite, TX 75149-1656
Phone (479) 258-2080
Other practice location 4
2391 S Wayside Dr Unit D
Houston, TX 77023-3910
Phone (479) 258-2080
Other practice location 5
3506 S Texas 6
Suite B
Houston, TX 77082
Phone (479) 258-2080
Other practice location 6
200 Short Blvd Ste 150
Dallas, TX 75232-1300
Phone (479) 258-2080
Other practice location 7
4122 Lbj Fwy Ste 130
Dallas, TX 75244-5703
Phone (479) 258-2080
Other practice location 8
10505 Broadway St Ste 100
Pearland, TX 77584-8076
Phone (346) 275-6998
Other practice location 9
335 Hwy 6
Sugar Land, TX 77478
Phone (832) 500-2299
Other practice location 10
15953 FM Rd 529
Houston, TX 77095
Phone (281) 500-7191
Other practice location 11
22605 Tomball Parkway
Suite C
Tomball, TX 77375
Phone (281) 205-9950
Other practice location 12
951 W Belt Line Rd Ste 100
DeSoto, TX 75115-3741
Phone (469) 643-5029
Other practice location 13
2900 Renaissance Sq Ste 100
Fort Worth, TX 76105-5263
Phone (817) 806-9448
Other practice location 14
5302 N Garland Ave Ste 100
Garland, TX 75040-2715
Phone (479) 258-2080
Other practice location 15
7451 McCart Ave Ste 100
Fort Worth, TX 76133-7215
Phone (479) 258-2080
Other practice location 16
6001 N Central Expy Ste 100
Plano, TX 75023-4702
Phone (479) 258-2080
Other practice location 17
6401 NE Loop 820 Ste 200
North Richland Hills, TX 76180-6041
Phone (479) 258-2080
Other practice location 18
8401 Anderson Blvd Ste 100
Fort Worth, TX 76120-3889
Phone (479) 258-2080
Other practice location 19
3820 State Highway 64 W
Tyler, TX 75704-6924
Phone (903) 594-4761
Other practice location 20
494 I 30 E
Royse City, TX 75189-7527
Phone (972) 635-2186
Other practice location 21
555 W I 30
Garland, TX 75043-5702
Phone (972) 535-1562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 358648ZHTM | Other | TX | MEDICARE PTAN |
Other names 1
- Walmart Health
National Provider Directory
National Provider DirectoryLocations
200 Short Blvd
Ste 150
Dallas, TX 75232
4122 Lyndon B Johnson Fwy
Ste 130
Dallas, TX 75244
Phone (972) 488-9222
7451 McCart Ave
Ste 100
Fort Worth, TX 76133
Phone (817) 704-3262
2727 Dunvale Rd
#D
Houston, TX 77063
Phone (713) 830-2500
202 US Highway 80 E
Mesquite, TX 75149
6401 NE Loop 820
Ste 200
North Richland Hills, TX 76180
Phone (817) 893-1630
10505 Broadway St
#100
Pearland, TX 77584
Phone (346) 275-6998
6001 N Central Expy
Ste 100
Plano, TX 75023
494 W Interstate 30
Royse City, TX 75189
Phone (972) 635-2186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711584000000",
"number": "1508272444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SW 8TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727160445",
"telephone_number": "479-204-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2223 S LOOP 256",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758014701",
"telephone_number": "903-729-9501",
"fax_number": "903-729-9503"
}
],
"practiceLocations": [
{
"address_1": "2727 Dunvale Rd Unit D",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770634401",
"country_code": "US",
"telephone_number": "479-258-2080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4412 North Fwy Unit X",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770223606",
"country_code": "US",
"telephone_number": "479-258-2080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "202 US Highway 80 E",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751491656",
"country_code": "US",
"telephone_number": "479-258-2080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2391 S Wayside Dr Unit D",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770233910",
"country_code": "US",
"telephone_number": "479-258-2080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3506 S Texas 6",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77082",
"country_code": "US",
"telephone_number": "479-258-2080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Short Blvd Ste 150",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752321300",
"country_code": "US",
"telephone_number": "479-258-2080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4122 Lbj Fwy Ste 130",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752445703",
"country_code": "US",
"telephone_number": "479-258-2080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10505 Broadway St Ste 100",
"address_purpose": "LOCATION",
"city": "Pearland",
"state": "TX",
"postal_code": "775848076",
"country_code": "US",
"telephone_number": "346-275-6998",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "335 Hwy 6",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "77478",
"country_code": "US",
"telephone_number": "832-500-2299",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15953 FM Rd 529",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77095",
"country_code": "US",
"telephone_number": "281-500-7191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22605 Tomball Parkway",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Tomball",
"state": "TX",
"postal_code": "77375",
"country_code": "US",
"telephone_number": "281-205-9950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "951 W Belt Line Rd Ste 100",
"address_purpose": "LOCATION",
"city": "DeSoto",
"state": "TX",
"postal_code": "751153741",
"country_code": "US",
"telephone_number": "469-643-5029",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 Renaissance Sq Ste 100",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761055263",
"country_code": "US",
"telephone_number": "817-806-9448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5302 N Garland Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Garland",
"state": "TX",
"postal_code": "750402715",
"country_code": "US",
"telephone_number": "479-258-2080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7451 McCart Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761337215",
"country_code": "US",
"telephone_number": "479-258-2080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6001 N Central Expy Ste 100",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750234702",
"country_code": "US",
"telephone_number": "479-258-2080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6401 NE Loop 820 Ste 200",
"address_purpose": "LOCATION",
"city": "North Richland Hills",
"state": "TX",
"postal_code": "761806041",
"country_code": "US",
"telephone_number": "479-258-2080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8401 Anderson Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761203889",
"country_code": "US",
"telephone_number": "479-258-2080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3820 State Highway 64 W",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757046924",
"country_code": "US",
"telephone_number": "903-594-4761",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "494 I 30 E",
"address_purpose": "LOCATION",
"city": "Royse City",
"state": "TX",
"postal_code": "751897527",
"country_code": "US",
"telephone_number": "972-635-2186",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "555 W I 30",
"address_purpose": "LOCATION",
"city": "Garland",
"state": "TX",
"postal_code": "750435702",
"country_code": "US",
"telephone_number": "972-535-1562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MC MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-10",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "ENROLLMENT MANAGER",
"authorized_official_telephone_number": "479-258-2080"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "358648ZHTM",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Walmart Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Walmart Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.