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Organization
PRIORITY HEALTH CENTER LLC
Active
Organization
PRIORITY HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOU SIGNO (BILLING MANAGER)
(972) 526-5444
Entity
Organization
Contact information
Practice address
3535 N BUCKNER BLVD, STE 100, DALLAS, TX 75228-5548
(214) 660-1011
(214) 660-1016
Mailing address
3535 N BUCKNER BLVD, STE 100, DALLAS, TX 75228-5548
(214) 660-1011
(214) 660-1016
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10024245
AMERIGROUP
TX
05
—
121128601
—
TX
05
—
121128604
—
TX
01
—
5686
PARKLAND
TX
Enumeration date
05/15/2008
Last updated
03/21/2016
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