PMC/Bayside Acquisition, L.L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PMC/BAYSIDE ACQUISITION, L.L.C.

Practice address

4001 Preston Ave
Suite 175
Pasadena, TX 77505-2069

Phone

(281) 487-6111

NPI assigned

Jan 6, 2010

Organization subpart

Yes

Parent organization

PATIENTS MEDICAL CENTER, LTD.As reported in NPPES

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

Authorized official

Name

Mr. Mark W. Kennedy

Title

Manager

Phone

(972) 479-1380

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1780914192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E CAMPBELL RD",
            "address_2": "SUITE 220",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750816708",
            "telephone_number": "972-479-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 PRESTON AVE",
            "address_2": "SUITE 175",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775052069",
            "telephone_number": "281-487-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC/BAYSIDE ACQUISITION, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATIENTS MEDICAL CENTER, LTD.",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-479-1380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Reagan M Poland, M.D.
• Polar Healthcare Professional Corporation
• Frank Joseph Ponce III, MD
• Laura Elisabeth Poppe, APRN, PNP-PC
• Victoria H Poppelaars, PA

• Ambulatory Surgical Clinic/Center in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.