DYNAMIC RPA HEALTHCARE PA NPI 1790100550

NPI Information

NPI: 1790100550
Provider Name: DYNAMIC RPA HEALTHCARE PA

Doing Business As: DYNAMIC MEDICAL

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
6901 MCCART AVE
# 200
FORT WORTH, TX
ZIP 76133
Phone: (817) 294-9600
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DYNAMIC RPA HEALTHCARE PA is a primary care clinic center in Fort Worth, TX. DYNAMIC RPA HEALTHCARE PA NPI is 1790100550. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dynamic Medical.

The provider's business location address is:

6901 MCCART AVE
# 200
FORT WORTH, TX
ZIP 76133-377
Phone: (817) 294-9600
Fax: (817) 294-9600

The provider's authorized official is Christopher A Ineama .
The authorized official title is Partner and has the following contact phone number (817) 294-9600.

The enumeration date for this NPI number is 3/3/2014 and was last updated on 3/3/2014.

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	363A00000X	Physician Assistant		PA05609	TEXAS	No
2	261QP2300X	Clinic/Center	Primary Care	H7354	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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