Preferred Cardio Checkup Management LLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

PREFERRED CARDIO CHECKUP MANAGEMENT LLC

Practice address

211 Bent Creek Dr
Waxahachie, TX 75165-6353

Phone

(972) 281-7328

NPI assigned

Nov 7, 2019

Last updated

Jun 16, 2020By 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

Ms. Mary Benner

Title

Ceo

Phone

(972) 281-7328

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1942845565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BENT CREEK DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751656353",
            "telephone_number": "972-281-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BENT CREEK DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751656353",
            "telephone_number": "972-281-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED CARDIO CHECKUP MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "BENNER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-281-7328",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WAXAHACHIE",
            "affiliation": "N",
            "address_1": "211 Bent Creek Dr",
            "city": "Waxahachie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751656353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Public Health & General Preventive Medicine Physician in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Public Health & General Preventive Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.