Provider Demographics
NPI:1265150148
Name:CARE MD CLINIC PLLC
Entity type:Organization
Organization Name:CARE MD CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAEK SOO
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-972-4234
Mailing Address - Street 1:2601 LITTLE ELM PKWY STE 1404
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-1922
Mailing Address - Country:US
Mailing Address - Phone:972-638-0033
Mailing Address - Fax:972-777-1090
Practice Address - Street 1:2601 LITTLE ELM PKWY STE 1404
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-1922
Practice Address - Country:US
Practice Address - Phone:972-638-0033
Practice Address - Fax:972-777-1090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty