Healthcare Provider Details

I. General information

NPI: 1861935710
Provider Name (Legal Business Name): NRV INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2016
Last Update Date: 11/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6171 VIRGINIA PKWY ST. 100
MCKINNEY TX
75071-5605
US

IV. Provider business mailing address

PO BOX 884
MCKINNEY TX
75070-8145
US

V. Phone/Fax

Practice location:
  • Phone: 512-423-8300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP8425
License Number StateTX

VIII. Authorized Official

Name: DR. NEAL VASSA
Title or Position: PHYSICIAN
Credential: D.O.
Phone: 512-423-8300