MEDICARE: GUARDIAN RPM USA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator	1346696770	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1346696770	OTHER	TX	NPI 1

General Provider Information

NPI Number	:	1487197976
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUARDIAN RPM USA

Provider Business Mailing Address
First Line	:	6800 WEISKOPF AVE
Second Line	:	STE 150
City	:	MCKINNEY
State	:	TX
Zip	:	75070-5242
Country	:	US
Telephone Number	:	888-801-5675
Fax Number	:	877-922-4348

Provider Business Practice Location Address
First Line	:	6800 WEISKOPF AVE
Second Line	:	STE 150
City	:	MCKINNEY
State	:	TX
Zip	:	75070-5242
Country	:	US
Telephone Number	:	888-801-5675
Fax Number	:	877-922-4348

Authorized Official
Title or Position	:	CEO
Name	:	MR. TIMOTHY RYAN BILBREY
Credential	:	MBA
Telephone Number	:	214-274-4482

Provider Enumeration Date	:	12/01/2016
Last Update Date	:	12/01/2016

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Directions to “GUARDIAN RPM USA ” Practice Location

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