Organization
ADVANCED CARE PROVIDER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC R NAIFEH MSN, NP-C, RN (CEO)
(214) 956-6995
Entity
Organization
Contact information
Practice address
3116 MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2414
(214) 956-6995
Mailing address
3116 MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2414
(214) 956-6995
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
774559
TX
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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