=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902390750
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STRAND HEALTH PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/15/2018
-----------------------------------------------------
Last Update Date | 06/16/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7300 ELDORADO PKWY STE 200
-----------------------------------------------------
City | MCKINNEY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75070-7896
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-358-0281
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6442 MCCOMMAS BLVD
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75214-3107
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-358-0281
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. JONATHAN E CLARKE
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 972-358-0281
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QU0200X
-----------------------------------------------------
Taxonomy Name | Urgent Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------