DALLAS HEALTH AND WELLNESS CLINIC PLLC NPI 1366108151

NPI Information

NPI: 1366108151
Provider Name: DALLAS HEALTH AND WELLNESS CLINIC PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D2245873

Address:
9304 FOREST LN STE N177
DALLAS, TX
ZIP 75243
Phone: (214) 713-8228
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DALLAS HEALTH AND WELLNESS CLINIC PLLC is a family nurse practitioner in Dallas, TX. DALLAS HEALTH AND WELLNESS CLINIC PLLC NPI is 1366108151. The provider is registered as an organization entity type.

The provider's business location address is:

9304 FOREST LN STE N177
DALLAS, TX
ZIP 75243-238
Phone: (214) 713-8228

The provider's authorized official is Evelyn Okunoghae .
The authorized official title is Owner and has the following contact phone number (469) 251-8772.

The CLIA number assigned to this NPI record is 45D2245873 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2021 and was last updated on 12/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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