# MEDICAL EDGE HEALTHCARE GROUP PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225214513
- **Authorized official:** CLAY HEIGHTEN (PRESIDENT)
- **Authorized official phone:** (972) 739-3001

## Contact information

- **Practice address:** 4601 MEDICAL CENTER DR, MCKINNEY, TX 75069-1771
- **Practice address phone:** (972) 562-9222
- **Practice address fax:** (972) 562-9211
- **Mailing address:** PO BOX 650268, DALLAS, TX 75265-0268
- **Mailing address phone:** (888) 238-9671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | R31452 | TX | Yes |

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 04/27/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200384001 | — | TX |