Organization
CARE TRACK CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA J PETERSEN DNP, APRN, GNP-BC (PROVIDER/OWNER)
(214) 213-4726
Entity
Organization
Contact information
Practice address
5440 HARVEST HILL RD STE 182, DALLAS, TX 75230-1605
(214) 213-4726
(866) 672-8204
Mailing address
5440 HARVEST HILL RD STE 182, DALLAS, TX 75230-1605
(214) 213-4726
(866) 672-8204
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
AP115470
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548396849
INDIVIDUAL NPI
TX
01
—
TXB131306
MEDICARE
TX
Enumeration date
11/23/2016
Last updated
08/24/2017
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