DOCTOR MOM PLLC
NPI 1750941118
Family Medicine in Allen, TX

Q: What is Doctor Mom PLLC's NPI number?

The NPI number for Doctor Mom PLLC is 1750941118. It was assigned to this organization in the NPPES registry on June 18, 2019.

Q: What is Doctor Mom PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Doctor Mom PLLC was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 18, 2019

1333 W MCDERMOTT DR STE 150, ALLEN, TX 75013(972) 478-0696(844) 296-5471 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 25, 2019, Oct 3, 2019, Jun 18, 2019 (3 updates tracked since 2019).

On this page

About Doctor Mom Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOCTOR MOM PLLC (NPI 1750941118) is a healthcare organization registered as a family medicine in Allen, Texas and active in the NPI registry since June 2019. The organization maintains 2 additional practice locations and lists Shauntelle Dene Bonman, Physician, as its authorized official.

NPPES Registry Identity

NPI1750941118

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDOCTOR MOM PLLC

Location Address1333 W MCDERMOTT DR STE 150Allen, TX 75013-3088

Mailing Address1120 Shadetree LnAllen, TX 75013-5415 · Fax (844) 296-5471

Phone(972) 478-0696

Fax(844) 296-5471

Organization SubpartNo

Authorized OfficialShauntelle Dene BonmanPhysician · (972) 284-9498

Enumeration DateJune 18, 2019

Last NPPES UpdateOctober 25, 20193 updates tracked since enumeration

✔ NPI 1750941118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1333 W MCDERMOTT DR STE 150, Allen, TX 75013

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13000 Custer Rd # 270-7004Plano, TX 75075-4422 · Phone (972) 478-0696

Location 2101 North Greenville Avenue, Suite 616CAllen, TX 75002 · Phone (972) 478-0696 · Fax (844) 296-5471

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JESSICA CLARE KILPATRICK RBT

Behavior Technician