Healthcare Provider Details

I. General information

NPI: 1821759481
Provider Name (Legal Business Name): PERFORMANCE CAREER INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 01/05/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 W RANDOL MILL RD STE 106
ARLINGTON TX
76011-4612
US

IV. Provider business mailing address

1304 RAINER DR
MANSFIELD TX
76063-4306
US

V. Phone/Fax

Practice location:
  • Phone: 817-323-0456
  • Fax:
Mailing address:
  • Phone: 817-323-0456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ROCHELLE LINNETTE STEANS
Title or Position: PROGRAM DIRECTOR
Credential: RN
Phone: 877-323-0456