Electrology 3000 LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ELECTROLOGY 3000 LLC

Practice address

105 Kathryn Dr Ste C
Lewisville, TX 75067-4200

Phone

(972) 221-7268

Fax

(972) 221-7860

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Christine D McCaa

Title

Manager

Phone

(972) 221-7268

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1639788391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KATHRYN DR STE C",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674200",
            "telephone_number": "972-221-7268",
            "fax_number": "972-221-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 KATHRYN DR STE C",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674200",
            "telephone_number": "972-221-7268",
            "fax_number": "972-221-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTROLOGY 3000 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "MCCAA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-221-7268"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Ingrid Ehnebuske, SLP
• Eisai Patient Support Pharmacy
• Allison Eisenmann, PHARM, D
• Princewill C Eke
• Samanthia Eldridge, LPC-ASSOCIATE
• Steven Lewis Elieff, MD
• Elite View Imaging, LLC
• Marian Denise Ellington, OTR, MOT
• Kelci L Ellis, LPC
• Anita Elliston

• Medical Specialty Clinic/Center in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.