CWIDA INC NPI 1689089401

NPI Information

NPI: 1689089401
Provider Name: CWIDA, INC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
15800 DOOLEY RD STE 170
ADDISON, TX
ZIP 75001
Phone: (972) 661-2273
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CWIDA, INC is a gerontology nurse practitioner in Addison, TX. CWIDA, INC NPI is 1689089401. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15800 DOOLEY RD STE 170
ADDISON, TX
ZIP 75001-712
Phone: (972) 661-2273
Fax: (866) 292-6489

The provider's authorized official is Marvin Fojtaek .
The authorized official title is Owner and has the following contact phone number (972) 661-2273.

The enumeration date for this NPI number is 7/1/2014 and was last updated on 7/1/2014.

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	163WG0600X	Registered Nurse	Gerontology	767459	TEXAS	No
2	363LG0600X	Nurse Practitioner	Gerontology	AP125351	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

NPI Synchronization or Removal

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