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NPI 1437627478

NPI 1437627478 : HT FAMILY CARE ASSOCIATES LLC : MIDLOTHIAN, TX

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General NPI Number Information
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    NPI Number           |    1437627478
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    Entity Type          |    Organization 
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    Legal Business Name  |    HT FAMILY CARE ASSOCIATES LLC 
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Dates
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    Enumeration Date     |    11/07/2018
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    Last Update Date     |    06/08/2021
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Provider Practice Location Address
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    Address Line         |    110 W AVENUE F STE 100 
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    City                 |    MIDLOTHIAN
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    State                |    TX
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    Zip                  |    76065-2972
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    Country              |    US
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    Telephone            |    469-428-7251
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    Fax                  |    469-708-4376
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Provider Business Mailing Address
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    Address Line         |    PO BOX 243 
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    City                 |    MIDLOTHIAN
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    State                |    TX
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    Zip                  |    76065-0243
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    Country              |    US
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    Telephone            |    214-725-3692
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |    MR. JAMES  JOHNSON III
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    Credential           |    
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    Telephone            |    214-725-3692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    
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    License Number State |    
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