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General NPI Number Information
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NPI Number | 1710751235
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Entity Type | Organization
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Legal Business Name | THRIVE MEDICAL SOLUTIONS
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 700 HIGHLANDER BLVD, STE 500
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City | ARLINGTON
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State | TX
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Zip | 76015
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Country | US
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Telephone | 469-677-7691
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Fax | 469-677-7754
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Provider Business Mailing Address
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Address Line | 539 W COMMERCE ST STE 418
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City | DALLAS
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State | TX
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Zip | 75208-1953
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Country | US
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Telephone | 469-677-7691
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ABIOLA FADAYOMI
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Credential | AGNP-BC
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Telephone | 469-677-7691
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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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