Organization · Type 2 NPI

South Polk Medical Clinic LLC

Nurse Practitioner · Dallas, TX

NPI number 1043351760 Active

Practice location

3436 S Polk St
Dallas, TX 75224-3804

Fax (214) 372-9201

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	578285 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

3 other providers at this address

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About NPI 1043351760

South Polk Medical Clinic LLC's National Provider Identifier is 1043351760, issued on Feb 8, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, TX. The record was last updated on Jul 26, 2011.