Healthcare Provider Details

I. General information

NPI: 1124905666
Provider Name (Legal Business Name): D&F MED, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 LIVE OAK ST
GREENVILLE TX
75402-6364
US

IV. Provider business mailing address

5005 LIVE OAK ST
GREENVILLE TX
75402-6364
US

V. Phone/Fax

Practice location:
  • Phone: 903-455-3500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROEINA KAY MANN
Title or Position: BILLING MANAGER
Credential:
Phone: 936-642-0841