JC RAPHA MEDICAL MANAGEMENT GROUP NPI 1508272493

NPI Information

NPI: 1508272493
Provider Name: JC RAPHA MEDICAL MANAGEMENT GROUP

Doing Business As: REDBIRD MEDICAL CLINIC

Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
3107 W CAMP WISDOM RD
SUITE 115
DALLAS, TX
ZIP 75237
Phone: (214) 330-0002
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JC RAPHA MEDICAL MANAGEMENT GROUP is an adult health clinical nurse specialist in Dallas, TX. JC RAPHA MEDICAL MANAGEMENT GROUP NPI is 1508272493. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Redbird Medical Clinic.

The provider's business location address is:

3107 W CAMP WISDOM RD
SUITE 115
DALLAS, TX
ZIP 75237-643
Phone: (214) 330-0002
Fax: (214) 330-0010

The provider's authorized official is Stanley James .
The authorized official title is Chief Executive Officer and has the following contact phone number (214) 330-0002.

The enumeration date for this NPI number is 7/11/2014 and was last updated on 7/11/2014.

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			No
2	364SA2200X	Clinical Nurse Specialist	Adult Health			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: 4/28/2024

NPI Synchronization or Removal

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