Provider Demographics
NPI:1407408255
Name:SINGULARITY MEDICAL GROUP PLLC
Entity Type:Organization
Organization Name:SINGULARITY MEDICAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TNEECIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:APPLEWHITE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:469-209-9915
Mailing Address - Street 1:2225 N HARWOOD ST APT 1410
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-2404
Mailing Address - Country:US
Mailing Address - Phone:469-576-0721
Mailing Address - Fax:
Practice Address - Street 1:1919 MCKINNEY AVE # 2085
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-1753
Practice Address - Country:US
Practice Address - Phone:469-576-0721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service