Provider Demographics
NPI:1710465489
Name:PLATINUM ACCESS MOBILE HEALTH PLLC
Entity Type:Organization
Organization Name:PLATINUM ACCESS MOBILE HEALTH PLLC
Other - Org Name:WHOLE HEALTH KINETIX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:SLATER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-707-2890
Mailing Address - Street 1:14800 QUORUM DR STE 560
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-7679
Mailing Address - Country:US
Mailing Address - Phone:469-547-1700
Mailing Address - Fax:469-420-5362
Practice Address - Street 1:14800 QUORUM DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7073
Practice Address - Country:US
Practice Address - Phone:469-547-1700
Practice Address - Fax:469-420-5362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty