FRONTLINE WHITEROCK MEDICAL CENTER LLC NPI 1295180651

NPI Information

NPI: 1295180651
Provider Name: FRONTLINE WHITEROCK MEDICAL CENTER LLC
Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

CLIA Number: 45D2115116

Address:
7331 GASTON AVE
SUITE 180
DALLAS, TX
ZIP 75214
Phone: (281) 961-3217
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FRONTLINE WHITEROCK MEDICAL CENTER LLC is an emergency care clinic center in Dallas, TX. FRONTLINE WHITEROCK MEDICAL CENTER LLC NPI is 1295180651. The provider is registered as an organization entity type.

The provider's business location address is:

7331 GASTON AVE
SUITE 180
DALLAS, TX
ZIP 75214-131
Phone: (281) 961-3217

The provider's authorized official is Ethan T Tran .
The authorized official title is Owner and has the following contact phone number (281) 961-3217.

The CLIA number assigned to this NPI record is 45D2115116 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/4/2016 and was last updated on 5/4/2016.

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	261QE0002X	Clinic/Center	Emergency Care	P3089	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: 11/14/2023

NPI Synchronization or Removal

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