Advanced Care Provider, LLC
Nurse Practitioner, Family in Dallas, Texas
1508133554- Practice location
- 3116 Martin Luther King Jr Blvd, Dallas, TX 75215-2414
- Phone
- 214-956-6995
- Fax
- —
- Last updated
- November 18, 2011
Advanced Care Provider, LLC is a healthcare organization based in Dallas, TX. The NPI number for Advanced Care Provider, LLC is 1508133554 and holds license No. 774559 (TX). The current practice location address is 3116 Martin Luther King Jr Blvd, Dallas, TX 75215-2414 and the office can be reached by phone at 214-956-6995. The NPI was assigned on November 18, 2011 and the record was last updated in NPPES on November 18, 2011.
●Provider Profile Details
- NPI Number
- 1508133554
- Provider Name
- Advanced Care Provider, LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Organization Subpart
- No
- Authorized Official
- Eric R Naifeh, MSN, NP-C, RN · Ceo · 214-956-6995
- Enumeration Date
- November 18, 2011
- Last Update Date
- November 18, 2011
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3116 Martin Luther King Jr Blvd
Dallas, TX 75215-2414 - City
- Dallas
- State
- Texas
- ZIP
- 75215-2414
- Country
- US
- Phone Number
- 214-956-6995
✉Business Mailing Address
- Address
- 3116 Martin Luther King Jr Blvd
Dallas, TX 75215-2414 - City
- Dallas
- State
- TX
- ZIP
- 75215-2414
- Phone Number
- 214-956-6995
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner, Family 193200000X - Multi-Specialty Group | 363LF0000X | Yes | 774559 | TX |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Dallas →?Frequently Asked Questions
What is the NPI number of Advanced Care Provider, LLC?
The NPI number of Advanced Care Provider, LLC is 1508133554. It was assigned on November 18, 2011 and is currently active in the NPPES registry.
What is the specialty of Advanced Care Provider, LLC?
Advanced Care Provider, LLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X) and holds license No. 774559 (TX).
Where does Advanced Care Provider, LLC practice?
The practice location is 3116 Martin Luther King Jr Blvd, Dallas, TX 75215-2414. The office can be reached at 214-956-6995 (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 1508133554 directly on the NPPES registry website at npiregistry.cms.hhs.gov.