Organization · NPI-2

Action Family Care PLLC

Nurse Practitioner, Family · Plano, TX

NPI number1508307679
StatusActive
Last updated in NPPESJan 25, 2018

Details

NPI
1508307679
Entity type
Organization (NPI-2)
Legal business name
Action Family Care PLLC
Organization subpart
No
Enumeration date
Mar 9, 2017
Last updated
Jan 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAP130793TXYes

Practice location

3100 Independence Pkwy
Suite 103a
Plano, TX 75075-1964

Phone 214-553-5543 · Fax 214-553-5543

Mailing address

11615 Forest Central Dr
214
Dallas, TX 75024-3910

Phone 214-553-5543

Authorized official

Hoss Mansoori
Family Nurse Practitioner
2145535543

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