Organization
JC RAPHA MEDICAL MANAGEMENT GROUP
Active
Other names
RedBird Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY JAMES (CHIEF EXECUTIVE OFFICER)
(214) 330-0002
Entity
Organization
Contact information
Practice address
3107 W CAMP WISDOM RD, SUITE 115, DALLAS, TX 75237-2643
(214) 330-0002
(214) 330-0010
Mailing address
3107 W CAMP WISDOM RD, SUITE 115, DALLAS, TX 75237-2643
(214) 330-0002
(214) 330-0010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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