Provider Demographics
NPI:1265482087
Name:TAPESTRY HEALTHCARE DEVELOPMENT
Entity Type:Organization
Organization Name:TAPESTRY HEALTHCARE DEVELOPMENT
Other - Org Name:TAPESTRY HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-742-8998
Mailing Address - Street 1:402 N TENNESSEE ST
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3927
Mailing Address - Country:US
Mailing Address - Phone:972-540-7700
Mailing Address - Fax:972-540-9100
Practice Address - Street 1:402 N TENNESSEE ST
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3927
Practice Address - Country:US
Practice Address - Phone:972-540-7700
Practice Address - Fax:972-540-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00564WMedicare ID - Type Unspecified