Organization Active NPI

Hendawi Family Practice

  • Family Health Clinical Nurse Specialist
  • Dallas, TX
National Provider Identifier
1013542174
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
Legal business name
HENDAWI FAMILY PRACTICE
Practice address
14902 Preston Rd Ste 404
Dallas, TX 75254
Phone
(516) 699-2589
Fax
(516) 534-5059
NPI assigned
Mar 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tariq Hendawi
Title
Owner
Phone
(516) 699-2589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SF0001X Primary

Addresses

Primary practice location

14902 Preston Rd Ste 404
Dallas, TX 75254

Mailing address

14902 Preston Rd Ste 404
Dallas, TX 75254-9105
Phone (516) 699-2589

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1013542174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14902 PRESTON RD STE 404",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549105",
            "telephone_number": "516-699-2589",
            "fax_number": "516-534-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14902 PRESTON RD STE 404",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75254",
            "telephone_number": "516-699-2589",
            "fax_number": "516-534-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDAWI FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "HENDAWI",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-699-2589"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.