Mid-Level Care, LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 02974 Issued in TX

Legal business name

MID-LEVEL CARE, LLC

Practice address

2550 Cross Timbers Rd
Suite 116, Mailbox 204
Flower Mound, TX 75028-2621

Phone

(469) 441-6845

Fax

(877) 801-2318

NPI assigned

Aug 1, 2008

Last updated

Aug 1, 2008By 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

Mr. Rafael Pomales Jr., MHS, PA-C

Title

Co-Owner

Phone

(469) 441-6845

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1598921256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 CROSS TIMBERS RD",
            "address_2": "SUITE 116, MAILBOX 204",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282621",
            "telephone_number": "469-441-6845",
            "fax_number": "877-801-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 CROSS TIMBERS RD",
            "address_2": "SUITE 116, MAILBOX 204",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282621",
            "telephone_number": "469-441-6845",
            "fax_number": "877-801-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-LEVEL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "POMALES",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "469-441-6845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MHS, PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA 02974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.