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MEDQUE FAMILY HEALTH NP. PLLC NPI 1154918001


NPI Information

NPI: 1154918001
Provider Name: MEDQUE FAMILY HEALTH NP. PLLC

Doing Business As: MEDQUE HEALTH CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2263368

Address:
1420 N COOPER ST STE 109
ARLINGTON, TX
ZIP 76011
Phone: (817) 587-4470
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MEDQUE FAMILY HEALTH NP. PLLC is a primary care clinic center in Arlington, TX. MEDQUE FAMILY HEALTH NP. PLLC NPI is 1154918001. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medque Health Center.

The provider's business location address is:

1420 N COOPER ST STE 109
ARLINGTON, TX
ZIP 76011-530
Phone: (817) 587-4470

The provider's authorized official is Chinyere J Okorie .
The authorized official title is Clinician and has the following contact phone number (817) 587-4470.

The CLIA number assigned to this NPI record is 45D2263368 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2020 and was last updated on 9/11/2023.


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 MedicineNo
2363L00000XNurse PractitionerNo
3363LP2300XNurse PractitionerPrimary CareNo
4261QP2300XClinic/CenterPrimary CareYes

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

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