Individual provider · NPI-1

Joaquin Adame

Nurse Practitioner, Pediatrics · Dallas, TX

NPI number1093211526
StatusActive
Last updated in NPPESApr 3, 2018

Details

NPI
1093211526
Entity type
Individual (NPI-1)
Name
Joaquin Adame
Sex
Male
Sole proprietor
No
Enumeration date
Apr 3, 2018
Last updated
Apr 3, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsAP137045TXYes

Practice location

655 W Illinois Ave Ste 916
Dallas, TX 75224-1814

Phone 214-941-7611

Mailing address

122 W John Carpenter Fwy Ste 420
Irving, TX 75039-2014

Phone 972-957-3000

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