TRUMED FAMILY CLINIC NPI 1235445123

NPI Information

NPI: 1235445123
Provider Name: TRUMED FAMILY CLINIC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2038906

Address:
2801 OSLER DR STE 120
GRAND PRAIRIE, TX
ZIP 75051
Phone: (214) 677-0208
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TRUMED FAMILY CLINIC is a primary care nurse practitioner in Grand Prairie, TX. TRUMED FAMILY CLINIC NPI is 1235445123. The provider is registered as an organization entity type.

The provider's business location address is:

2801 OSLER DR STE 120
GRAND PRAIRIE, TX
ZIP 75051-059
Phone: (214) 677-0208
Fax: (214) 677-0230

The provider's authorized official is Judith Udabor .
The authorized official title is Owner/practitioner and has the following contact phone number (972) 740-5830.

The CLIA number assigned to this NPI record is 45D2038906 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2010 and was last updated on 2/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	723945	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family			No
3	363LP2300X	Nurse Practitioner	Primary Care	723945	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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