Provider Demographics
NPI:1245322056
Name:KAPLAN, ADAM JONATHAN (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:JONATHAN
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 W. 15TH STREET
Mailing Address - Street 2:SUITE 445
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5844
Mailing Address - Country:US
Mailing Address - Phone:972-599-2567
Mailing Address - Fax:972-599-2119
Practice Address - Street 1:4001 W. 15TH STREET
Practice Address - Street 2:SUITE 445
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5844
Practice Address - Country:US
Practice Address - Phone:972-599-2567
Practice Address - Fax:972-599-2119
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1905207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8471B0Medicare ID - Type Unspecified
00235TMedicare PIN
H52518Medicare UPIN