Organization · NPI-2

Altabo First Assist

Registered Nurse, Registered Nurse First Assistant · Dallas, TX

NPI number1891869616
StatusActive
Last updated in NPPESSep 2, 2015

Details

NPI
1891869616
Entity type
Organization (NPI-2)
Legal business name
Altabo First Assist
Organization subpart
No
Enumeration date
Nov 20, 2006
Last updated
Sep 2, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WR0006X Registered Nurse, Registered Nurse First AssistantRN451277–Yes

Other names

  • Joan Bohan Rnfa (Other Name)

Practice location

3947 Stockton Ln
Dallas, TX 75287-4921

Phone 214-912-9931 · Fax 972-862-2507

Mailing address

3947 Stockton Ln
Dallas, TX 75287-4921

Phone 214-912-9931 · Fax 972-862-2507

Authorized official

Beverly Joan Bohan
President
2149129931

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Nurse, Registered Nurse First Assistant providers in Dallas, TX