Organization Name: | NUCH OF TEXAS |
NPI Number: | 1093111742 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL KYLE BURTNETT (SVP, OUTPATIENT SERVICES, TENET) |
Mailing Address: | 2101 Lakeview Pkwy Suite 300 Rowlett |
State: | TX US |
Postal Code: | 750883341 |
Phone Number: | 9724121712 |
Fax Number: | 9724123916 |
NPI Enumeration Date: | 11/07/2014 |
NPI Last Update Date: | 06/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |