SOUTH POLK MEDICAL CLINIC LLC is a nurse practitioner in Dallas, TX. The provider is (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. SOUTH POLK MEDICAL CLINIC LLC NPI is 1043351760. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3436 S POLK ST
DALLAS, TX
ZIP 75224-804
Phone: (214) 372-1051
Fax: (214) 372-9201
The provider's authorized official is El Greco Roberts .
The authorized official title is Vice President Of Business Affairs and has the following contact phone number (214) 372-1051.
The CLIA number assigned to this NPI record is 45D1011714 - other practitioner with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/8/2007 and was last updated on 7/26/2011.