=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023944428
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE DOC'S OFFICE MEDICAL GROUP, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/23/2026
-----------------------------------------------------
Last Update Date | 06/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 S TEXAS ST
-----------------------------------------------------
City | CROWLEY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76036-3134
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-290-9989
-----------------------------------------------------
Fax | 817-835-6637
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 200 S CROWLEY RD UNIT 305
-----------------------------------------------------
City | CROWLEY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76036-1404
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-290-9989
-----------------------------------------------------
Fax | 817-835-6637
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/MANAGING MEMBER
-----------------------------------------------------
Name | MRS. MELISSA CAHILL
-----------------------------------------------------
Credential | FNP-C
-----------------------------------------------------
Telephone | 817-290-9989
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------