NPI age
11 years
Enumerated 2014-07-21
● Active Type 2 · Organization
Mc Medical Llc
Mc Medical Llc is 1 of 2087 general practice organizations in Texas.
Primary specialty
General Practice
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Henry
Enrollment Manager
Last NPPES update
2022-11-22
Source: monthly bulk 2026-05
How this organization compares
Across 2087 active general practice providers in Texas.
NPI age
11 years
≈ at median (10 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-07Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
3820 State Highway 64 W
Tyler, TX 757046924
Mailing address
702 Sw 8th St
Bentonville, AR 727160445
Authorized official
Richard Henry
Enrollment Manager
📞 4792582080
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Theodore Obialo, RPH Pharmacist NPI 1053630012
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 358648ZHTM | MEDICARE PTAN |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Walmart Health
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.