Kassidy Nicole Rico in Dallas - Physician Assistant
Kassidy Nicole Rico - NPI 1508875659
Kassidy Nicole Rico is a Physician Assistant in Dallas, Texas. Kassidy Nicole Rico practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kassidy Nicole Rico is 1508875659. The last update date is 2022-04-11.
Kassidy Nicole Rico's current location address is 3900 Junius St, Dallas, Texas. You can contact this provider via phone number 4698007200 and fax number 4698007210. The mailing address for Kassidy Nicole Rico is 3900 Junius St, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kassidy Nicole Rico |
|---|---|
| Address | 3900 Junius St, Dallas, Texas |
| Phone Number | 4698007200 |
| Fax Number | 4698007210 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1508875659 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2022-04-11 |
Provider Mailing Address Detail
| Address | 3900 Junius St |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752461615 |
| Phone Number | 4698007200 |
| Fax Number | 4698007210 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04605 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8N9334 | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kassidy Nicole Rico by the Centers for Medicare & Medicaid Services?
The Kassidy Nicole Rico has been issued the NPI (National Provider Identifier) 1508875659, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kassidy Nicole Rico located?
The Kassidy Nicole Rico is located at 3900 Junius St, Dallas, TX 752461615.
What is Kassidy Nicole Rico's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kassidy Nicole Rico is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did the Kassidy Nicole Rico receive its 1508875659?
The Kassidy Nicole Rico was issued its 1508875659 on 2006-08-07, which is the date when the organization was assigned this unique identifier.
As of what date were the Kassidy Nicole Rico's details last updated?
The information pertaining to the Kassidy Nicole Rico, including its address, specialty, and other details, was most recently updated on 2022-04-11.