| Organization Name: | CARDINAL MEDICAL SERVICES, INC. |
| NPI Number: | 1043229461 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH S. MCKNIGHT (ADMINISTRATOR) |
| Mailing Address: | 1615 Precinct Line Rd Suite 105a Hurst |
| State: | TX US |
| Postal Code: | 760543345 |
| Phone Number: | 8176058777 |
| Fax Number: | 8176058779 |
| NPI Enumeration Date: | 08/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 531803 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |