Purple Amphibian, Llc in Fort Worth - Surgical

Purple Amphibian, Llc - NPI 1881850295

Purple Amphibian, Llc is a Surgical in Fort Worth, Texas. Purple Amphibian, Llc practices all healthcare services and medical treatments related to Surgical. The NPI Number for Purple Amphibian, Llc is 1881850295. The last update date is 2011-06-17.

Purple Amphibian, Llc's current location address is 7451 Chapel Ave, Fort Worth, Texas. You can contact this provider via phone number 8179262544. The mailing address for Purple Amphibian, Llc is 7451 Chapel Ave, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Purple Amphibian, Llc
Address 7451 Chapel Ave, Fort Worth, Texas
Phone Number 8179262544
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Pannell J Cece
Telephone Number 8172947444

NPI Number Detail

NPI Number 1881850295
Provider Enumeration Date 2008-08-05
Last Updated Date 2011-06-17

Provider Mailing Address Detail

Address 7451 Chapel Ave
City Fort Worth
State Texas (TX)
Post Code 761167090
Phone Number 8179262544
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 648218
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0025KE TX BCBS TX

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FAQs about Purple Amphibian, Llc

What is the Purple Amphibian, Llc's 1881850295?

The Purple Amphibian, Llc's NPI (National Provider Identifier) Number is 1881850295. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Purple Amphibian, Llc's facilities are geographically located?

The facilities of Purple Amphibian, Llc are physically situated at the following location: 7451 Chapel Ave, Fort Worth, TX, 761167090.

What is Purple Amphibian, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Purple Amphibian, Llc is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.

On what date did the Purple Amphibian, Llc receive the assignment of its 1881850295 from the Centers for Medicare & Medicaid Services?

The Purple Amphibian, Llc was issued its 1881850295 by the Centers for Medicare & Medicaid Services on 2008-08-05.

When was the information regarding Purple Amphibian, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Purple Amphibian, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-06-17.

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