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Lkw Rnfa LLC

Registered Nurse, Registered Nurse First Assistant in Dallas, TX. Organization (NPI-2).

NPI number1346654530
StatusActive
Last updated in NPPESJun 16, 2014

Details

NPI
1346654530
Entity type
Organization (NPI-2)
Legal business name
Lkw Rnfa LLC
Organization subpart
No
Enumeration date
Jun 16, 2014
Last updated
Jun 16, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WR0006X Registered Nurse, Registered Nurse First Assistant773834TXYes

Practice location

9301 N Central Expy
Dallas, TX 75231-0806

Phone 855-711-2378

Mailing address

705 Via Altos
Mesquite, TX 75150-4430

Phone 214-721-2170

Authorized official

Lisa K Weaver
Rn,bsn,cnor,rnfa
2147212170

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