Provider Demographics
NPI:1356832141
Name:MEDICAL HEALTH SERVICES PLLC
Entity Type:Organization
Organization Name:MEDICAL HEALTH SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCAULIFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-931-0684
Mailing Address - Street 1:5301 W SPRING CREEK PKWY APT 2234
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-4912
Mailing Address - Country:US
Mailing Address - Phone:210-219-4183
Mailing Address - Fax:
Practice Address - Street 1:5301 W SPRING CREEK PKWY APT 2234
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-4912
Practice Address - Country:US
Practice Address - Phone:940-781-8642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-29
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5553208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty