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MEDBAK HEALTHCARE SERVICES PLLC NPI 1952754806


NPI Information

NPI: 1952754806
Provider Name: MEDBAK HEALTHCARE SERVICES, PLLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
1130 BEACHVIEW ST
STE 110
DALLAS, TX
ZIP 75218
Phone: (214) 516-1495
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MEDBAK HEALTHCARE SERVICES, PLLC is a medical physician assistant in Dallas, TX. MEDBAK HEALTHCARE SERVICES, PLLC NPI is 1952754806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1130 BEACHVIEW ST
STE 110
DALLAS, TX
ZIP 75218-700
Phone: (214) 516-1495
Fax: (214) 660-8634

The provider's authorized official is Adewumi Bakare .
The authorized official title is Ceo and has the following contact phone number (214) 516-1495.

The enumeration date for this NPI number is 7/15/2016 and was last updated on 7/15/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA06380TEXASYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.