DRAGONFLY PEDIATRICS NPI 1922604644

NPI Information

NPI: 1922604644
Provider Name: DRAGONFLY PEDIATRICS
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

CLIA Number: 45D2207740

Address:
2300 W MICHIGAN AVE
MIDLAND, TX
ZIP 79701
Phone: (432) 704-1058
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DRAGONFLY PEDIATRICS is a pediatrics nurse practitioner in Midland, TX. DRAGONFLY PEDIATRICS NPI is 1922604644. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2300 W MICHIGAN AVE
MIDLAND, TX
ZIP 79701-808
Phone: (432) 704-1058

The provider's authorized official is Alicia Frith .
The authorized official title is Owner and has the following contact phone number (432) 704-1058.

The CLIA number assigned to this NPI record is 45D2207740 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2020 and was last updated on 12/8/2020.

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	208000000X	Pediatrics				No
2	363LP0200X	Nurse Practitioner	Pediatrics			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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