Active NPI
Hendawi Family Practice
- Family Health Clinical Nurse Specialist
- Dallas, TX
National Provider Identifier
1013542174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 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 DirectoryNPI 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.