629 Twelve Oaks. LLC
Specialist/Technologist, Other, Surgical Technologist in Dallas, Texas
1568844751- Practice location
- 4516 Lovers Ln, St 331, Dallas, TX 75225-6925
- Phone
- 214-315-6432
- Fax
- 214-317-4667
- Last updated
- June 24, 2015
629 Twelve Oaks. LLC is a healthcare organization based in Dallas, TX. The NPI number for 629 Twelve Oaks. LLC is 1568844751. The current practice location address is 4516 Lovers Ln, St 331, Dallas, TX 75225-6925 and the office can be reached by phone at 214-315-6432 and by fax at 214-317-4667. The NPI was assigned on June 24, 2015 and the record was last updated in NPPES on June 24, 2015.
●Provider Profile Details
- NPI Number
- 1568844751
- Provider Name
- 629 Twelve Oaks. LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Specialist/Technologist, Other, Surgical Technologist · 246ZS0410X
- Organization Subpart
- No
- Authorized Official
- Bridget Brady, MD · Owner · 214-315-6432
- Enumeration Date
- June 24, 2015
- Last Update Date
- June 24, 2015
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 4516 Lovers Ln
St 331
Dallas, TX 75225-6925 - City
- Dallas
- State
- Texas
- ZIP
- 75225-6925
- Country
- US
- Phone Number
- 214-315-6432
- Fax Number
- 214-317-4667
✉Business Mailing Address
- Address
- 4516 Lovers Ln
St 331
Dallas, TX 75225-6925 - City
- Dallas
- State
- TX
- ZIP
- 75225-6925
- Phone Number
- 214-315-6432
- Fax Number
- 214-317-4667
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Specialist/Technologist, Other, Surgical Technologist 193400000X - Single Specialty Group | 246ZS0410X | Yes | — | — |
#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 629 Twelve Oaks. LLC?
The NPI number of 629 Twelve Oaks. LLC is 1568844751. It was assigned on June 24, 2015 and is currently active in the NPPES registry.
What is the specialty of 629 Twelve Oaks. LLC?
629 Twelve Oaks. LLC is registered under the primary taxonomy Specialist/Technologist, Other, Surgical Technologist (code 246ZS0410X).
Where does 629 Twelve Oaks. LLC practice?
The practice location is 4516 Lovers Ln, St 331, Dallas, TX 75225-6925. The office can be reached at 214-315-6432 (phone) or 214-317-4667 (fax).
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 1568844751 directly on the NPPES registry website at npiregistry.cms.hhs.gov.