MEMORIAL CLINIC – NPI #1033376744
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

MEMORIAL CLINIC is a provider located in SHERMAN, TX. NPPES has assigned the NPI number 1033376744 to MEMORIAL CLINIC on May 20, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEMORIAL CLINIC” is a dba name, the actual legal business name for this organization is EDMONDSON ROSS & HURST MEMORIAL CLINIC PLLC. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 16 years ago on Mar 15, 2010. 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 MEMORIAL CLINIC below.

NPI Profile for
EDMONDSON ROSS & HURST MEMORIAL CLINIC PLLC

NPI Number
1033376744
Enumeration Date

(more than 18 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
EDMONDSON ROSS & HURST MEMORIAL CLINIC PLLC
Doing Business As (dba): MEMORIAL CLINIC
Primary location
600 N HIGHLAND AVE
SUITE 105
SHERMAN, TX 75092-5631
Phone: (903) 892-2781 Fax: (903) 892-2780
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KEVIN STACKS
SOLE MEMBER
Phone: (903) 892-2781
Updated
Identifiers

Identifiers for MEMORIAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX195685601
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
208D00000X
- General Practice (Primary)		 TX K7908

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.