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NPI Code Detail

MEDICARE: MERCY BISHOP

MEDICARE: MERCY BISHOP
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 PractitionerAP137348TX

General Provider Information

NPI Number : 1801388483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERCY BISHOP
Provider Business Mailing Address
First Line : 5525 RESEARCH PARK DR FL 4
Second Line :
City : BALTIMORE
State : MD
Zip : 21228-4873
Country : US
Telephone Number : 973-831-3540
Fax Number : 973-831-3503
Provider Business Practice Location Address
First Line : 8000 FRANKFORD RD
Second Line :
City : DALLAS
State : TX
Zip : 75252-6894
Country : US
Telephone Number : 972-232-8080
Fax Number : 972-232-8099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2018
Last Update Date : 07/22/2021

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Directions to “ MERCY BISHOP ” Practice Location

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