POTTERS HOUSE FAMILY CLINIC LLC NPI 1326391947

NPI Information

NPI: 1326391947
Provider Name: POTTERS HOUSE FAMILY CLINIC LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
7125 MARVIN D LOVE FWY
STE 207
DALLAS, TX
ZIP 75237
Phone: (214) 607-3650
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POTTERS HOUSE FAMILY CLINIC LLC is a family nurse practitioner in Dallas, TX. POTTERS HOUSE FAMILY CLINIC LLC NPI is 1326391947. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7125 MARVIN D LOVE FWY
STE 207
DALLAS, TX
ZIP 75237-175
Phone: (214) 607-3650

The provider's authorized official is Immaculata Inyang .
The authorized official title is Ceo and has the following contact phone number (214) 607-3650.

The enumeration date for this NPI number is 10/19/2012 and was last updated on 4/15/2013.

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	808591	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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