Healthcare Provider Details
I. General information
NPI: 1922538461
Provider Name (Legal Business Name): NUVIEW HEALTH TEXAS PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/18/2017
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1825 NW CORPORATE BLVD STE 105
BOCA RATON FL
33431-8554
US
IV. Provider business mailing address
1825 NW CORPORATE BLVD STE 105
BOCA RATON FL
33431-8554
US
V. Phone/Fax
- Phone: 561-299-3667
- Fax: 561-299-3670
- Phone: 561-299-3667
- Fax: 561-299-3670
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
BRYAN
MATTHEW
LUDWIG
Title or Position: CHIEF STRATEGY OFFICER
Credential:
Phone: 561-299-3667