Provider Demographics
NPI:1851964092
Name:ACCESS A DOCTOR, PLLC
Entity Type:Organization
Organization Name:ACCESS A DOCTOR, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF STRATEGIC DEVELOPMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-640-2051
Mailing Address - Street 1:610 ELM ST STE 700
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-6763
Mailing Address - Country:US
Mailing Address - Phone:469-640-2051
Mailing Address - Fax:
Practice Address - Street 1:610 ELM ST STE 700
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-6763
Practice Address - Country:US
Practice Address - Phone:469-640-2051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty