REGIONAL HEALTH CLINIC AT TERRELL PLLC NPI 1306119490

NPI Information

NPI: 1306119490
Provider Name: REGIONAL HEALTH CLINIC AT TERRELL PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D2150543

Address:
1553 STATE HIGHWAY 34 S
STE 100
TERRELL, TX
ZIP 75160
Phone: (972) 563-1475
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REGIONAL HEALTH CLINIC AT TERRELL PLLC is a family nurse practitioner in Terrell, TX. REGIONAL HEALTH CLINIC AT TERRELL PLLC NPI is 1306119490. The provider is registered as an organization entity type.

The provider's business location address is:

1553 STATE HIGHWAY 34 S
STE 100
TERRELL, TX
ZIP 75160-833
Phone: (972) 563-1475
Fax: (972) 524-5132

The provider's authorized official is Larry W Hamberlin .
The authorized official title is Owner/provider and has the following contact phone number (972) 563-1475.

The CLIA number assigned to this NPI record is 45D2150543 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2012 and was last updated on 12/13/2013.

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	261QP2300X	Clinic/Center	Primary Care	774755	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	774755	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TXB156510	MEDICARE PIN	TEXAS

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

NPI Synchronization or Removal

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