Basic Information
| Provider Information | |||||||||
| NPI: | 1629735501 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ECHAD MD SERVICES PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5955 ALPHA RD # 1293 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752401121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9729991659 | ||||||||
| FaxNumber: | 2057295887 | ||||||||
| Practice Location | |||||||||
| Address1: | 5955 ALPHA RD # 1293 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752401121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9729991659 | ||||||||
| FaxNumber: | 2057295887 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/26/2021 | ||||||||
| LastUpdateDate: | 11/26/2021 | ||||||||
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| AuthorizedOfficialLastName: | CLARK | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
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| AuthorizedOfficialTitleorPosition: | BILLING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9729991659 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| NPICertificationDate: | 11/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
No ID Information.