MEDICARE: RHEMA HEALTHCARE SERVICES

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

General Provider Information

NPI Number	:	1770106429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHEMA HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	2860 S STATE HIGHWAY 161 STE 333
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-7358
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 VALWOOD PKWY STE NO20170A
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75006-8312
Country	:	US
Telephone Number	:	972-898-9101
Fax Number	:	972-366-0243

Authorized Official
Title or Position	:	OWNER
Name	:	MARTHA SNYDER
Credential	:	FNP
Telephone Number	:	972-898-9101

Provider Enumeration Date	:	05/28/2020
Last Update Date	:	05/28/2020

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Directions to “RHEMA HEALTHCARE SERVICES ” Practice Location

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