NPI: 1104325083 · ALLEN, TX 75002 · General Practice Physician · NPI assigned 02/06/2018
| Authorized Official | MCAULIFF, TIMOTHY (DIRECTOR) |
| NPI Enumeration Date | 02/06/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 17 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | 17 | 13 | $0.00 |