Healthcare Provider Details

I. General information

NPI: 1265293377
Provider Name (Legal Business Name): TRANSITIONS HEALTH AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2024
Last Update Date: 01/17/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 ELDORADO PKWY STE 270
MCKINNEY TX
75070-3590
US

IV. Provider business mailing address

7300 ELDORADO PKWY STE 270
MCKINNEY TX
75070-3590
US

V. Phone/Fax

Practice location:
  • Phone: 469-712-5481
  • Fax:
Mailing address:
  • Phone: 469-712-5481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID GIBSON
Title or Position: PRESIDENT AND OWNER
Credential: MD
Phone: 214-558-2428