Healthcare Provider Details
I. General information
NPI: 1639580087
Provider Name (Legal Business Name): NP CONCEPTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2014
Last Update Date: 05/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
221 N PRESTON RD
PROSPER TX
75078-8645
US
IV. Provider business mailing address
221 N PRESTON RD
PROSPER TX
75078-8645
US
V. Phone/Fax
- Phone: 972-437-1320
- Fax: 866-496-9677
- Phone: 972-437-1320
- Fax: 866-496-9677
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 164W00000X |
| Taxonomy | Licensed Practical Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ANDREW
SCOTT
FITZGERALD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 214-766-7282