EXTENDED MEDICAL MANAGEMENT SERVICES, INC. – NPI #1861577579
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

EXTENDED MEDICAL MANAGEMENT SERVICES, INC. is a provider located in DALLAS, TX. NPPES has assigned the NPI number 1861577579 to EXTENDED MEDICAL MANAGEMENT SERVICES, INC. on October 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXTENDED MEDICAL MANAGEMENT SERVICES, INC. below.

NPI Profile for
EXTENDED MEDICAL MANAGEMENT SERVICES, INC.

NPI Number
1861577579
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXTENDED MEDICAL MANAGEMENT SERVICES, INC.
Primary location
13140 COIT RD
SUITE 212
DALLAS, TX 75240-5755
Phone: (469) 330-2444 Fax: (469) 330-2396
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DERRICK BOWMAN
PRESIDENT
Phone: (469) 330-2444
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
TX M2309
363LG0600X
- Nurse Practitioner / Gerontology
TX 506447

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.