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NEW BOSTON MEDICAL GROUP LLP NPI 1871571737


NPI Information

NPI: 1871571737
Provider Name: NEW BOSTON MEDICAL GROUP LLP

Doing Business As: NEW BOSTON FAMILY CLINIC

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
114 W US HIGHWAY 82
NEW BOSTON, TX
ZIP 75570
Phone: (903) 628-0422
Get Directions

NEW BOSTON MEDICAL GROUP LLP is a nurse practitioner in New Boston, TX. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. NEW BOSTON MEDICAL GROUP LLP NPI is 1871571737. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As New Boston Family Clinic.

The provider's business location address is:

114 W US HIGHWAY 82
NEW BOSTON, TX
ZIP 75570-804
Phone: (903) 628-0422
Fax: (903) 628-0448

The provider's authorized official is Donald Stratton Douglas .
The authorized official title is Supervising Physician and has the following contact phone number (903) 628-0422.

The enumeration date for this NPI number is 1/2/2006 and was last updated on 4/13/2011.


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
1174400000XSpecialistK90258TEXASNo
2174400000XSpecialistK0219TEXASNo
3363AM0700XPhysician AssistantMedicalPA03545TEXASNo
4363LF0000XNurse PractitionerFamily564395TEXASNo
5363L00000XNurse Practitioner660180TEXASYes

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
100851WMEDICARE UPINTEXAS
2165646401MEDICAIDTEXAS
300851WMEDICARE PINTEXAS

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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