Provider Demographics
NPI:1417681289
Name:EPIC MEDICINE PLLC
Entity Type:Organization
Organization Name:EPIC MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHALED
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-530-4932
Mailing Address - Street 1:619 W FM 544 STE 1B
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4587
Mailing Address - Country:US
Mailing Address - Phone:469-530-4932
Mailing Address - Fax:
Practice Address - Street 1:619 W FM 544 STE 1B
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4587
Practice Address - Country:US
Practice Address - Phone:469-530-4932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty