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NPI Code Detail

MEDICARE: ON-SITE NURSE PRACTITIONER GROUP

MEDICARE: ON-SITE NURSE PRACTITIONER GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1093288896
Entity Type Code : Organization
Provider Name (Legal Business Name) : ON-SITE NURSE PRACTITIONER GROUP
Provider Business Mailing Address
First Line : 9801 WESTHEIMER RD STE 300
Second Line :
City : HOUSTON
State : TX
Zip : 77042-3979
Country : US
Telephone Number : 713-922-3329
Fax Number :
Provider Business Practice Location Address
First Line : 9801 WESTHEIMER RD STE 300
Second Line :
City : HOUSTON
State : TX
Zip : 77042-3979
Country : US
Telephone Number : 713-922-3329
Fax Number :
Authorized Official
Title or Position : DIRECT OWNER
Name : KIMBERLY DODD
Credential : APRN, FNP-C
Telephone Number : 713-922-3329
Provider Enumeration Date : 01/04/2019
Last Update Date : 03/21/2022

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Directions to “ON-SITE NURSE PRACTITIONER GROUP ” Practice Location

Language Start Address Practice Location
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