Organization
PURPLE HEARTS INTEGRATED COMMUNITY OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVEN ELLIOTT MODISETTE FNP-C, PMHNP-BC (CEO)
(214) 412-3523
Entity
Organization
Contact information
Practice address
688 W PIONEER PKWY STE 120, GRAND PRAIRIE, TX 75051-4861
(214) 412-3523
(214) 710-2188
Mailing address
688 W PIONEER PKWY STE 120, GRAND PRAIRIE, TX 75051-4861
(214) 412-3523
(214) 710-2188
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us