NPI Code Details Logo

NPI 1710851589

NPI 1710851589 : HEALNOW LLC : CARROLLTON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1710851589
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HEALNOW LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/03/2025
-----------------------------------------------------
    Last Update Date     |    10/03/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4333 N JOSEY LN STE 100B 
-----------------------------------------------------
    City                 |    CARROLLTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75010-4620
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-443-0925
-----------------------------------------------------
    Fax                  |    469-443-0925
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4333 N JOSEY LN STE 100B 
-----------------------------------------------------
    City                 |    CARROLLTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75010-4620
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-443-0925
-----------------------------------------------------
    Fax                  |    469-443-0925
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MD/OWNER
-----------------------------------------------------
    Name                 |     RICHARD G BUCH 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    469-443-0925
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    208D00000X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    363LA2100X
-----------------------------------------------------
    Taxonomy Name        |    Acute Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    363LP2300X
-----------------------------------------------------
    Taxonomy Name        |    Primary Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    163WW0000X
-----------------------------------------------------
    Taxonomy Name        |    Wound Care Registered Nurse
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.