Organization · NPI-2

Amy G Box

Registered Nurse, Registered Nurse First Assistant · Dallas, TX

NPI number1205467552
StatusActive
Last updated in NPPESJan 25, 2024

Details

NPI
1205467552
Entity type
Organization (NPI-2)
Legal business name
Amy G Box
Organization subpart
No
Enumeration date
Jan 27, 2020
Certification date
Jan 25, 2024
Last updated
Jan 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WR0006X Registered Nurse, Registered Nurse First Assistant––Yes

Practice location

8915 San Fernando Way
Dallas, TX 75218-4036

Phone 214-227-2457 · Fax 214-764-0880

Mailing address

8915 San Fernando Way
Dallas, TX 75218-4036

Authorized official

Amy G Box
Owner
2148025042

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