Mc Medical LLC
Mc Medical LLC is a healthcare organization registered as General Practice Physician in Tyler, TX, holding Type 2 (organization) NPI 1326455577 since 2014. The authorized official on file is Richard Henry, Enrollment Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1326455577 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mc Medical LLC |
| Other name | <Unavail> |
| Practice address | 3820 STATE HIGHWAY 64 W, Tyler, TX, 75704 |
| Phone | 9035944761 |
| Fax | 9035260280 |
| Enumeration date | 2014-07-21 |
| Last updated in NPPES | 2022-11-22 |
Authorized official
| Name | Richard Henry |
|---|---|
| Title | Enrollment Manager |
| Phone | 4792582080 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | Secondary | — | — |
| 208D00000X | General Practice Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 358648ZHTM | Other | TX | MEDICARE PTAN |
Copy-ready billing details
Provider: Mc Medical LLC NPI: 1326455577 Taxonomy: 208D00000X (General Practice Physician) Address: 3820 STATE HIGHWAY 64 W, Tyler, TX, 75704
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1033136288 | Wal-Mart Stores Texas LLC | Organization | Community/Retail Pharmacy | Tyler, TX |
| 1053630012 | Theodore Obialo | Individual | Pharmacist | Tyler, TX |
Verify this record
Cross-check NPI 1326455577 against the authoritative CMS record: view Mc Medical LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Mc Medical LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-11-22.