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Organization
PRIMARY CLOSURE
Active
Organization
PRIMARY CLOSURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS STRITTMATTER RN,FNPC (PRESIDEN/CEO)
(817) 681-8150
Entity
Organization
Contact information
Practice address
7115 GREENVILLE AVE, DALLAS, TX 75231-5100
(817) 681-8150
Mailing address
PO BOX 953908, LAKE MARY, FL 32795-3908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
710685
TX
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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