Minor Emergency & Diagnostic Care

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

H3144 Issued in TX

Legal business name

MINOR EMERGENCY & DIAGNOSTIC CARE

Practice address

1920 N Collins Blvd
Richardson, TX 75080-3525

Phone

(972) 498-4503

NPI assigned

Jun 4, 2009

Organization subpart

No

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

Authorized official

Name

Eduardo Mario Wilkinson, MD

Title

Partner

Phone

(972) 498-4503

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1760618706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 N COLLINS BLVD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803525",
            "telephone_number": "972-498-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N COLLINS BLVD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803525",
            "telephone_number": "972-498-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINOR EMERGENCY & DIAGNOSTIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "972-498-4503",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "J3937",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "H3144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Richardson, TX
• Providers in Richardson, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.