PECULIAR WELLNESS CENTER LLC NPI 1306542865

NPI Information

NPI: 1306542865
Provider Name: PECULIAR WELLNESS CENTER LLC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

CLIA Number: 45D2281527

Address:
1030 S CARRIER PKWY STE 100
GRAND PRAIRIE, TX
ZIP 75051
Phone: (469) 373-2260
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PECULIAR WELLNESS CENTER LLC is a women's health nurse practitioner in Grand Prairie, TX. PECULIAR WELLNESS CENTER LLC NPI is 1306542865. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1030 S CARRIER PKWY STE 100
GRAND PRAIRIE, TX
ZIP 75051-527
Phone: (469) 373-2260

The provider's authorized official is Anthonia Duru .
The authorized official title is Administrator and has the following contact phone number (214) 597-3113.

The CLIA number assigned to this NPI record is 45D2281527 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2023 and was last updated on 8/9/2023.

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	363LW0102X	Nurse Practitioner	Women's Health			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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