SUMMIT HEALTHCARE PLLC NPI 1740005362

NPI Information

  • NPI: 1740005362
  • Provider Name: SUMMIT HEALTHCARE PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 45D2310623
  • Address: 2900 DENTON HWY
    HALTOM CITY, TX
    ZIP 76117
  • Phone: (817) 420-6009

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NPI Details

SUMMIT HEALTHCARE PLLC is a family nurse practitioner in Haltom City, TX. SUMMIT HEALTHCARE PLLC NPI is 1740005362. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2900 DENTON HWY
HALTOM CITY, TX
ZIP 76117-763
Phone: (817) 420-6009
Fax: (817) 420-6015

The provider's authorized official is Louis Graham .
The authorized official title is Owner and has the following contact phone number (817) 420-6009.

The CLIA number assigned to this NPI record is 45D2310623 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2024 and was last updated on 11/19/2024.

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
1363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

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