Organization
BDPM MCKINNEY, PLLC
Active
Other names
BLUE DIAMOND PHYSICAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LUNDIN NP (STAFF PROVIDER)
(972) 542-5879
Entity
Organization
Contact information
Practice address
270 REDBUD BLVD, STE 100, MCKINNEY, TX 75069-3390
(972) 542-5879
(972) 542-7779
Mailing address
270 REDBUD BLVD, STE 100, MCKINNEY, TX 75069-3390
(972) 542-5879
(972) 542-7779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6953350001
MEDICARE DMEPOS
TX
Enumeration date
04/12/2013
Last updated
08/22/2022
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