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TEXAS SUBURBAN VISITING PHYSICIAN SERVICES NPI 1902405301


NPI Information

NPI: 1902405301
Provider Name: TEXAS SUBURBAN VISITING PHYSICIAN SERVICES
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2200 SMITH BARRY RD
PANTEGO, TX
ZIP 76013
Phone: (312) 257-1747
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TEXAS SUBURBAN VISITING PHYSICIAN SERVICES is a primary care nurse practitioner in Pantego, TX. TEXAS SUBURBAN VISITING PHYSICIAN SERVICES NPI is 1902405301. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2200 SMITH BARRY RD
PANTEGO, TX
ZIP 76013-800
Phone: (312) 257-1747

The provider's authorized official is Rachele Smith .
The authorized official title is Manager and has the following contact phone number (513) 377-9374.

The enumeration date for this NPI number is 10/19/2020 and was last updated on 10/19/2020.


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
1363LP2300XNurse PractitionerPrimary CareYes

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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