Organization
ATLAS VISITING PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMALDEEN ISIAKA FNP-BC (OWNING MEMBER)
(214) 358-2808
Entity
Organization
Contact information
Practice address
1701 W NORTHWEST HWY STE 240, GRAPEVINE, TX 76051-8107
(214) 385-2808
(214) 382-0881
Mailing address
1701 W NORTHWEST HWY STE 240, GRAPEVINE, TX 76051-8107
(214) 385-2808
(214) 382-0881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
09/28/2024
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