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NPI Code Detail

MEDICARE: TAILORED DRIPS

MEDICARE: TAILORED DRIPS
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
1363L00000XNurse Practitioner

General Provider Information

NPI Number : 1255016812
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAILORED DRIPS
Provider Business Mailing Address
First Line : 3333 PRESTON RD #1340
Second Line : STE 300
City : FRISCO
State : TX
Zip : 75034
Country : US
Telephone Number : 214-305-6882
Fax Number :
Provider Business Practice Location Address
First Line : 6801 MCCART AVE STE 109
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-6378
Country : US
Telephone Number : 214-305-6882
Fax Number :
Authorized Official
Title or Position : NURSE PRACTITIONER
Name : KAFAYAT ORITOLA
Credential : NP
Telephone Number : 214-305-6882
Provider Enumeration Date : 06/20/2023
Last Update Date : 06/20/2023

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Directions to “TAILORED DRIPS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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