Provider Demographics
NPI:1629735501
Name:ECHAD MD SERVICES PLLC
Entity Type:Organization
Organization Name:ECHAD MD SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-999-1659
Mailing Address - Street 1:5955 ALPHA RD # 1293
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-1121
Mailing Address - Country:US
Mailing Address - Phone:972-999-1659
Mailing Address - Fax:205-729-5887
Practice Address - Street 1:5955 ALPHA RD # 1293
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-1121
Practice Address - Country:US
Practice Address - Phone:972-999-1659
Practice Address - Fax:205-729-5887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-26
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty