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JOHN F NIELSEN M D FAMILY MEDICINE PA NPI 1003006065


NPI Profile

NPI: 1003006065
Provider Name: JOHN F NIELSEN M D FAMILY MEDICINE PA
Classification:Family Medicine - 207Q00000X
Entity Type: Organization
Address:
702 DAVIS ST STE 4
CARTHAGE, TX
ZIP 75633
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Phone: (903) 694-4991

JOHN F NIELSEN M D FAMILY MEDICINE PA is a family medicine in Carthage, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JOHN F NIELSEN M D FAMILY MEDICINE PA NPI is 1003006065. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

702 DAVIS ST STE 4
CARTHAGE, TX
ZIP 75633-461
Phone: (903) 694-4991
Fax: (903) 694-4995

The provider's authorized official is John Francis Nielsen .
The authorized official title is President and has the following contact phone number (903) 694-4991.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 10/19/2010.


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
1207Q00000XFamily MedicineJ8333TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10052JKOTHERTEXASBLUE CROSS
2G01263MEDICARE UPINTEXAS
3160376301MEDICAIDTEXAS
400706UMEDICARE PINTEXAS

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: 11/7/2021

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