LUMIN ER CAMP BOWIE LLC NPI 1730541475

NPI Information

NPI: 1730541475
Provider Name: LUMIN ER CAMP BOWIE LLC
Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
4520 CAMP BOWIE BLVD
FORT WORTH, TX
ZIP 76107
Phone: (913) 972-4976
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LUMIN ER CAMP BOWIE LLC is an emergency care clinic center in Fort Worth, TX. LUMIN ER CAMP BOWIE LLC NPI is 1730541475. The provider is registered as an organization entity type.

The provider's business location address is:

4520 CAMP BOWIE BLVD
FORT WORTH, TX
ZIP 76107-837
Phone: (913) 972-4976

The provider's authorized official is Jeff Vanhorn .
The authorized official title is Ceo and has the following contact phone number (913) 972-4976.

The enumeration date for this NPI number is 3/22/2016 and was last updated on 3/22/2016.

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			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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