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NPI 1750780235

NPI 1750780235 : RELIANT FAMILY MEDICINE & PSYCHIATRY : GRAND PRAIRIE, TX

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General NPI Number Information
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    NPI Number           |    1750780235
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    Entity Type          |    Organization 
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    Legal Business Name  |    RELIANT FAMILY MEDICINE & PSYCHIATRY 
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Dates
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    Enumeration Date     |    08/20/2014
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    Last Update Date     |    01/16/2026
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Provider Practice Location Address
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    Address Line         |    1801 S CARRIER PKWY 
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    City                 |    GRAND PRAIRIE
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    State                |    TX
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    Zip                  |    75051-3702
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    Country              |    US
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    Telephone            |    972-433-0088
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    Fax                  |    972-730-9801
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Provider Business Mailing Address
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    Address Line         |    1801 S CARRIER PKWY 
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    City                 |    GRAND PRAIRIE
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    State                |    TX
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    Zip                  |    75051-3702
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    Country              |    US
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    Telephone            |    972-433-0088
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    Fax                  |    972-730-9801
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Authorized Official
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    Title or Position    |    NP,OWNER
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    Name                 |     ELVIS  NGYIA 
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    Credential           |    
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    Telephone            |    214-277-3305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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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        |    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 #3
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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