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MEDICAL COMMAND CLINICAL PRACTICE OF PENNSYLVANIA PC NPI 1083089726


NPI Information

NPI: 1083089726
Provider Name: MEDICAL COMMAND CLINICAL PRACTICE OF PENNSYLVANIA PC
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Organization
Address:
13737 NOEL RD
SUITE 1400
DALLAS, TX
ZIP 75240
Phone: (214) 712-2815
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MEDICAL COMMAND CLINICAL PRACTICE OF PENNSYLVANIA PC is a licensed practical nurse in Dallas, TX. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MEDICAL COMMAND CLINICAL PRACTICE OF PENNSYLVANIA PC NPI is 1083089726. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13737 NOEL RD
SUITE 1400
DALLAS, TX
ZIP 75240-331
Phone: (214) 712-2815
Fax: (888) 491-7218

The provider's authorized official is Russell Harris .
The authorized official title is Physician Owner and has the following contact phone number (214) 754-8700.

The enumeration date for this NPI number is 12/7/2015 and was last updated on 12/7/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseNo
2164W00000XLicensed Practical NurseYes

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.