MIDLOTHIAN MEDICAL AND SPORTS CENTER – NPI #1841991346
General Practice

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

MIDLOTHIAN MEDICAL AND SPORTS CENTER is a provider located in MIDLOTHIAN, TX. NPPES has assigned the NPI number 1841991346 to MIDLOTHIAN MEDICAL AND SPORTS CENTER on March 13, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MIDLOTHIAN MEDICAL AND SPORTS CENTER” is a dba name, the actual legal business name for this organization is MIDLOTHIAN MEDICAL & SPORTS CENTER, PLLC. With multiple taxonomy codes selected, 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 3 years ago on Sep 27, 2023. 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 MIDLOTHIAN MEDICAL AND SPORTS CENTER below.

NPI Profile for
MIDLOTHIAN MEDICAL & SPORTS CENTER, PLLC

NPI Number
1841991346
Enumeration Date

(more than 3 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
MIDLOTHIAN MEDICAL & SPORTS CENTER, PLLC
Doing Business As (dba): MIDLOTHIAN MEDICAL AND SPORTS CENTER
Primary location
460 S. 14TH STREET
MIDLOTHIAN, TX 76065
Phone: (972) 723-1155 Fax: (972) 723-1111
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRAD COLLINS
OWNER
Phone: (972) 723-1155
Updated
Certification Date
Sep 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.