Organization
UMBRELLA CARE MULTI SPECIALITY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKISHA JOHNSON POLK NP (DIRECTOR)
(812) 486-1209
Entity
Organization
Contact information
Practice address
8750 PARK LN, DALLAS, TX 75231-1219
(832) 264-1457
Mailing address
8750 PARK LN, DALLAS, TX 75231-1219
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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