Healthcare Provider Details

I. General information

NPI: 1649325978
Provider Name (Legal Business Name): DIANA KAY SCHRAMM FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DIANA KAY CLARK

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W ARBROOK BLVD STE 101
ARLINGTON TX
76014-3175
US

IV. Provider business mailing address

400 W ARBROOK BLVD STE 101
ARLINGTON TX
76014-3175
US

V. Phone/Fax

Practice location:
  • Phone: 817-801-1456
  • Fax: 817-801-0594
Mailing address:
  • Phone: 817-801-1456
  • Fax: 817-801-0594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP125336
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: