EMERALD LAINE PLLC NPI 1952820680

NPI Information

NPI: 1952820680
Provider Name: EMERALD LAINE, PLLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3836 ARUNDEL AVE
FORT WORTH, TX
ZIP 76109
Phone: (817) 637-5438
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EMERALD LAINE, PLLC is an ambulatory surgical clinic center in Fort Worth, TX. EMERALD LAINE, PLLC NPI is 1952820680. The provider is registered as an organization entity type.

The provider's business location address is:

3836 ARUNDEL AVE
FORT WORTH, TX
ZIP 76109-542
Phone: (817) 637-5438

The provider's authorized official is Jeri Elkins .
The authorized official title is President and has the following contact phone number (817) 637-5438.

The enumeration date for this NPI number is 9/13/2017 and was last updated on 9/13/2017.

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	261QA1903X	Clinic/Center	Ambulatory Surgical		FLORIDA	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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