ADJUVA PRIMARY CARE INC. NPI 1316553043

NPI Information

NPI: 1316553043
Provider Name: ADJUVA PRIMARY CARE INC.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D2211861

Address:
4901 STATE HIGHWAY 114
SUITE 102
NORTHLAKE, TX
ZIP 76262
Phone: (817) 554-2121
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ADJUVA PRIMARY CARE INC. is a family nurse practitioner in Northlake, TX. ADJUVA PRIMARY CARE INC. NPI is 1316553043. The provider is registered as an organization entity type.

The provider's business location address is:

4901 STATE HIGHWAY 114
SUITE 102
NORTHLAKE, TX
ZIP 76262-466
Phone: (817) 554-2121
Fax: (817) 813-8183

The provider's authorized official is Margaret Adee Stinnett .
The authorized official title is Owner/provider and has the following contact phone number (817) 554-2121.

The CLIA number assigned to this NPI record is 45D2211861 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2020 and was last updated on 1/23/2023.

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

NPI Synchronization or Removal

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