MEDICARE: ERIC NAIFEH FNP, PMHNP, DC

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
1	111N00000X	Chiropractor	7921	TX
2	363L00000X	Nurse Practitioner	C-APN.0001544-C-NP	CO
3	363LF0000X	Family Nurse Practitioner	229867	AZ
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP120337	TX
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	229867	AZ
6	363LF0000X	Family Nurse Practitioner	AP120337	TX

General Provider Information

NPI Number	:	1386677094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC NAIFEH FNP, PMHNP, DC

Provider Business Mailing Address
First Line	:	6206 TIFFANY PARK CT
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-2039
Country	:	US
Telephone Number	:	214-956-6995
Fax Number	:	214-956-6987

Provider Business Practice Location Address
First Line	:	3939 W GREEN OAKS BLVD STE 100
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-2792
Country	:	US
Telephone Number	:	214-956-6995
Fax Number	:	214-956-6987

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	05/19/2022

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