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NPI 1356746408 Active Internal Medicine

Quick Facts

NPI Number

1356746408

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2014-10-31

Last Updated (NPPES)

2014-10-31

Primary Specialty / Taxonomy

Taxonomy	Internal Medicine
Taxonomy Code	`207R00000X`
License	K6978 TX

Other Taxonomies

Nurse Practitioner, Family — License AP126446TX

Practice Address

2185 BRINKER RD
SUITE 100
DENTON, TX 762086986

Phone: 866-487-8957

Fax: 866-487-8505

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.