Mynursepractitioner
Nurse Practitioner in Dallas, TX. Organization (NPI-2).
NPI number1871162016
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1871162016
- Entity type
- Organization (NPI-2)
- Legal business name
- Mynursepractitioner
- Organization subpart
- No
- Enumeration date
- Jun 22, 2021
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Other names
- Mynp.Clinic (Doing Business As)
Practice location
539 W Commerce St # 881Dallas, TX 75208-1953
Phone 206-659-7193 · Fax 949-655-7898
Mailing address
539 W Commerce St # 881Dallas, TX 75208-1953
Phone 206-659-7193 · Fax 949-655-7898
Authorized official
Larry D Malone
Nurse Practitioner/Owner
2066597193
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All 482 Nurse Practitioner providers in Dallas · All 47,373 providers in Dallas
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