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Malcolm X Pediatric Clinic
Pediatric Nurse Practitioner in Dallas, Texas
NPI 1518290469

Malcolm X Pediatric Clinic is a Pediatric Nurse Practitioner based in Dallas, TX and is specialized in Pediatrics. Malcolm X Pediatric Clinic practices in Dallas, TX. The NPI Number for Malcolm X Pediatric Clinic is 1518290469 and holds a License No. 245458 (Texas).

The current practice location address for Malcolm X Pediatric Clinic is 4432 Malcolm X Blvd, Dallas, TX and can be reached out via phone at 214-428-2010 and via fax at 214-428-2065.

Location: 4432 Malcolm X Blvd, Dallas, TX, 75215-4349
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518290469
Provider Name
Malcolm X Pediatric Clinic
Credential
Provider Entity Type
Organization
Address
4432 Malcolm X Blvd, Dallas, TX, 75215-4349
Phone Number
214-428-2010
Fax Number
214-428-2065
Provider Enumeration Date
09/10/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4432 Malcolm X Blvd
City
Dallas
State
Texas
Zip
75215-4349
Phone Number
214-428-2010
Fax Number
214-428-2065
person
Provider Business Mailing Address Details
Address
4432 Malcolm X Blvd
City
Dallas
State
Texas
Zip
75215-4349
Phone Number
214-428-2010
Fax Number
214-428-2065
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
245458 (Texas)
Definition
(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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
245458 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
245458 (Texas)
Definition
Definition to come...
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