MEDICARE: CAROL A BJORKMAN NP

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	363LF0000X	Family Nurse Practitioner	507646	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1730257403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL A BJORKMAN NP

Provider Business Mailing Address
First Line	:	5939 HARRY HINES BLVD.
Second Line	:	PROFESSIONAL OFFICE BUILDING 2, SUITE 600
City	:	DALLAS
State	:	TX
Zip	:	75390-5688
Country	:	US
Telephone Number	:	214-645-5505
Fax Number	:	214-645-5639

Provider Business Practice Location Address
First Line	:	5939 HARRY HINES BLVD.
Second Line	:	PROFESSIONAL OFFICE BUILDING 2, SUITE 600
City	:	DALLAS
State	:	TX
Zip	:	75390-5688
Country	:	US
Telephone Number	:	214-645-5505
Fax Number	:	214-645-5639

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	12/22/2015

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Directions to “ CAROL A BJORKMAN NP” Practice Location

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