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A.L.M.S. Community Health Center INC

Nurse Practitioner in Grand Prairie, TX. Organization (NPI-2).

NPI number1598308702
StatusActive
Last updated in NPPESOct 21, 2019

Details

NPI
1598308702
Entity type
Organization (NPI-2)
Legal business name
A.L.M.S. Community Health Center INC
Organization subpart
No
Enumeration date
Oct 21, 2019
Last updated
Oct 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes
363LA2200X Nurse Practitioner, Adult Health––
363LP0200X Nurse Practitioner, Pediatrics––

Practice location

2100 Virginia St Ste F
Grand Prairie, TX 75051-3796

Phone 214-862-5756

Mailing address

1204 Star Grass Dr
Mansfield, TX 76063-1688

Phone 312-307-1295

Authorized official

Karan Staggers
President
3123071295

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