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NPI Code Detail

MEDICARE: CARLA C DAHMS APRN

MEDICARE: CARLA C DAHMS APRN
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
1363LF0000XFamily Nurse PractitionerAP110775TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699761114
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA C DAHMS APRN
Provider Business Mailing Address
First Line : 460 NORTHWEST PKWY
Second Line :
City : AZLE
State : TX
Zip : 76020-3136
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 460 NORTHWEST PKWY
Second Line :
City : AZLE
State : TX
Zip : 76020-3136
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 01/14/2025

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