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NUBY PEDIATRICS PA NPI 1356396980


NPI Information

NPI: 1356396980
Provider Name: NUBY PEDIATRICS PA
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

CLIA Number: 45D2108821

Address:
1103 N ELM ST
DENTON, TX
ZIP 76201
Phone: (940) 566-5437
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NUBY PEDIATRICS PA is a pediatrics nurse practitioner in Denton, TX. NUBY PEDIATRICS PA NPI is 1356396980. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1103 N ELM ST
DENTON, TX
ZIP 76201-965
Phone: (940) 566-5437
Fax: (940) 320-2709

The provider's authorized official is Mari Dobbs .
The authorized official title is Office Manager and has the following contact phone number (940) 566-5437.

The CLIA number assigned to this NPI record is 45D2108821 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 7/20/2012.


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
1363LP0200XNurse PractitionerPediatrics606596TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10011NJOTHERTEXASBCBSTX
210046727OTHERTEXASAMERIGROUP
3178582601MEDICAIDTEXAS
400W216MEDICARE PINTEXAS
5178528602OTHERTEXASMEDICAID THS

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

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.