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NPI Code Detail

MEDICARE: NUCH OF TEXAS

MEDICARE: NUCH OF TEXAS
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
1207P00000XEmergency Medicine Physician
2207Q00000XFamily Medicine Physician
3207R00000XInternal Medicine Physician
4208D00000XGeneral Practice Physician
5261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1912537184
Entity Type Code : Organization
Provider Name (Legal Business Name) : NUCH OF TEXAS
Provider Business Mailing Address
First Line : 115 EASTPARK DR STE 300
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-2311
Country : US
Telephone Number : 615-600-4074
Fax Number : 615-309-8341
Provider Business Practice Location Address
First Line : 14201 DALLAS PKWY STE 150
Second Line :
City : DALLAS
State : TX
Zip : 75254-2916
Country : US
Telephone Number : 615-600-4074
Fax Number :
Authorized Official
Title or Position : CEO
Name : ERIC ENDERLE
Credential :
Telephone Number : 615-600-4120
Provider Enumeration Date : 01/16/2020
Last Update Date : 01/16/2020

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Directions to “NUCH OF TEXAS ” Practice Location

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