ADDISON INTERNAL MEDICINE NPI 1043695695

NPI Information

NPI: 1043695695
Provider Name: ADDISON INTERNAL MEDICINE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
17051 DALLAS PKWY STE 150
ADDISON, TX
ZIP 75001
Phone: (972) 733-3090
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ADDISON INTERNAL MEDICINE is a family nurse practitioner in Addison, TX. ADDISON INTERNAL MEDICINE NPI is 1043695695. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17051 DALLAS PKWY STE 150
ADDISON, TX
ZIP 75001-106
Phone: (972) 733-3090
Fax: (972) 733-4565

The provider's authorized official is Tri Nguyen .
The authorized official title is Medical Director and has the following contact phone number (972) 733-3090.

The enumeration date for this NPI number is 7/24/2015 and was last updated on 7/24/2015.

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	363LF0000X	Nurse Practitioner	Family	AP128604	TEXAS	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: 4/28/2024

NPI Synchronization or Removal

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