MEDICARE: NH CLINICAL SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1184178766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NH CLINICAL SERVICES PLLC

Provider Business Mailing Address
First Line	:	PO BOX 674178
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75267-4178
Country	:	US
Telephone Number	:	214-378-4656
Fax Number	:

Provider Business Practice Location Address
First Line	:	10740 N CENTRAL EXPY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-2161
Country	:	US
Telephone Number	:	214-378-4656
Fax Number	:

Authorized Official
Title or Position	:	REVENUE CYCLE MANAGER
Name	:	HOLLIE SEAGO
Credential	:
Telephone Number	:	214-378-4656

Provider Enumeration Date	:	08/11/2016
Last Update Date	:	08/11/2016

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