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Organization
JC RAPHA MEDICAL MANAGEMENT GROUP
Active
Organization
JC RAPHA MEDICAL MANAGEMENT GROUP
Active
Other names
RedBird Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY JAMES (CHIEF EXECUTIVE OFFICER)
(214) 330-0002
Entity
Organization
Contact information
Practice address
3107 W CAMP WISDOM RD, SUITE 115, DALLAS, TX 75237-2643
(214) 330-0002
(214) 330-0010
Mailing address
3107 W CAMP WISDOM RD, SUITE 115, DALLAS, TX 75237-2643
(214) 330-0002
(214) 330-0010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
—
NULL
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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