Healthcare Provider Details

I. General information

NPI: 1316933609
Provider Name (Legal Business Name): PHYSICIANS MEDICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6020 W PARKER RD
PLANO TX
75093-8171
US

IV. Provider business mailing address

PO BOX 735589
DALLAS TX
75373-5589
US

V. Phone/Fax

Practice location:
  • Phone: 972-403-2700
  • Fax: 972-403-2852
Mailing address:
  • Phone: 682-236-7692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number008153
License Number StateTX

VIII. Authorized Official

Name: MR. MITCHELL JAMES MULVEHILL
Title or Position: PRESIDENT
Credential: MULVEHILL
Phone: 972-403-2791