Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Source 1 Medical Inc

Organization Electrodiagnostic Medicine Physician · NPI 1457016966

Source 1 Medical Inc is an Electrodiagnostic Medicine Physician in Plano, Texas. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
12
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8080 Independence Pkwy Ste 110A
Plano, TX 75025-4000
Phone: (469) 658-0100
Fax: (469) 658-0101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5601 Bridge St Ste 500, Fort Worth, TX 76112-2352 — (817) 457-9850
  • 5425 W Spring Creek Pkwy Ste 270, Plano, TX 75024-4317 — (972) 801-2190

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Electrodiagnostic Medicine Physician Taxonomy 204R00000X
Neurology Physician Taxonomy 2084N0400X
Clinical Neurophysiology Physician Taxonomy 2084N0600X
Clinical Electrophysiology Physical Therapist Taxonomy 2251E1300X
Sports Physical Therapist Taxonomy 2251S0007X
Orthopedic Physical Therapist Taxonomy 2251X0800X
Occupational Therapist Taxonomy 225X00000X
Neurorehabilitation Occupational Therapist Taxonomy 225XN1300X
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X
Electroneurodiagnostic Specialist/Technologist Taxonomy 246ZE0600X
Occupational Medicine Clinic/Center Taxonomy 261QX0100X

Record details

NPI number1457016966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Harrell — Chief Operations Officer · (214) 808-2724
NPI enumeratedNovember 1, 2021
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 251728, Plano, TX 75025-1517

Other providers in Plano