Healthcare Provider Details
I. General information
NPI: 1679301972
Provider Name (Legal Business Name): LINK MEDICAL PARTNERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2024
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7501 LAKEVIEW PKWY STE 240
ROWLETT TX
75088-9323
US
IV. Provider business mailing address
5015 MERIDIAN LN UNIT 3105
ADDISON TX
75001-6587
US
V. Phone/Fax
- Phone: 972-520-9880
- Fax:
- Phone: 949-394-4697
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083P0011X |
| Taxonomy | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AUDREY
KIM
Title or Position: OWNER/CEO
Credential: MD
Phone: 972-520-9880