Organization
NS412, LLC
Active
Organization
NS412, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROB SUTTON (CHIEF FINANCIAL OFFICER)
(214) 562-9585
Entity
Organization
Contact information
Practice address
14841 DALLAS PKWY STE 950, DALLAS, TX 75254-8074
(855) 999-7549
Mailing address
PO BOX 734434, DALLAS, TX 75373-4434
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
05/10/2024
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