Active NPIIndividual provider

Joab O Acholla

Nurse Practitioner, Acute Care in Dallas, Texas

NPI Number1093336752
Practice location
221 W Colorado Blvd Ste 525, Dallas, TX 75208-2312
Fax
—
Last updated
August 30, 2023

Joab O Acholla is a Nurse Practitioner, Acute Care based in Dallas, TX. The NPI number for Joab O Acholla is 1093336752 and holds license No. AP143153 (TX). The current practice location address is 221 W Colorado Blvd Ste 525, Dallas, TX 75208-2312 and the office can be reached by phone at 214-960-5681. The NPI was assigned on May 4, 2020 and the record was last updated in NPPES on August 30, 2023.

●Provider Profile Details

NPI Number
1093336752
Provider Name
Joab Odhiambo Acholla
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Sole Proprietor
No
Enumeration Date
May 4, 2020
Last Update Date
August 30, 2023
Certification Date
August 30, 2023
NPI Status
Active

◉Business Practice Location Address

Address
221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
City
Dallas
State
Texas
ZIP
75208-2312
Country
US
Phone Number
214-960-5681

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✉Business Mailing Address

Address
2216 Elmwood Dr Apt 426
Arlington, TX 76010-8754
City
Arlington
State
TX
ZIP
76010-8754
Phone Number
817-946-4695

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Acute Care363LA2100XYesAP143153TX

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Joab O Acholla?

The NPI number of Joab O Acholla is 1093336752. It was assigned on May 4, 2020 and is currently active in the NPPES registry.

What is the specialty of Joab O Acholla?

Joab O Acholla is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X) and holds license No. AP143153 (TX).

Where does Joab O Acholla practice?

The practice location is 221 W Colorado Blvd Ste 525, Dallas, TX 75208-2312. The office can be reached at 214-960-5681 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093336752 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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