Dfw Super Group I Llc in Richardson - Nurse Practitioner
Dfw Super Group I Llc - NPI 1275575755
Dfw Super Group I Llc is a Nurse Practitioner in Richardson, Texas. Dfw Super Group I Llc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Dfw Super Group I Llc is 1275575755. The last update date is 2008-02-20.
Dfw Super Group I Llc's current location address is Po Box 835850, Richardson, Texas. You can contact this provider via phone number 9726801577 and fax number 9726909834. The mailing address for Dfw Super Group I Llc is Po Box 835850, Richardson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dfw Super Group I Llc |
|---|---|
| Address | Po Box 835850, Richardson, Texas |
| Phone Number | 9726801577 |
| Fax Number | 9726909834 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Ralston S. Lana |
| Credentials | F.N.P. |
| Telephone Number | 2146323514 |
NPI Number Detail
| NPI Number | 1275575755 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2008-02-20 |
Provider Mailing Address Detail
| Address | Po Box 835850 |
|---|---|
| City | Richardson |
| State | Texas (TX) |
| Post Code | 750835850 |
| Phone Number | 9726801577 |
| Fax Number | 9726909834 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Post Comment/ Review Below
What is the unique identifier code issued to Dfw Super Group I Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Dfw Super Group I Llc has been assigned the NPI (National Provider Identifier) 1275575755. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Dfw Super Group I Llc's physical address?
The Dfw Super Group I Llc is physically located at Po Box 835850, in the city of Richardson, TX, with the postal code 750835850.
What is Dfw Super Group I Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dfw Super Group I Llc is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Dfw Super Group I Llc receive the assignment of its 1275575755 from the Centers for Medicare & Medicaid Services?
The Dfw Super Group I Llc was issued its 1275575755 by the Centers for Medicare & Medicaid Services on 2006-06-11.
When was the Dfw Super Group I Llc's information last updated?
The Dfw Super Group I Llc's information was last updated on 2008-02-20.