Provider Demographics
NPI:1265219588
Name:GARRETT MEDICAL GROUP PLLC
Entity type:Organization
Organization Name:GARRETT MEDICAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:972-842-4450
Mailing Address - Street 1:2150 S CENTRAL EXPY STE 200
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4000
Mailing Address - Country:US
Mailing Address - Phone:972-842-4450
Mailing Address - Fax:972-842-4415
Practice Address - Street 1:2150 S. CENTRAL EXPRESSWAY, SUITE 200
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070
Practice Address - Country:US
Practice Address - Phone:972-842-4450
Practice Address - Fax:972-842-4415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty