Violet Stone
Individual provider Active NPI Attendant Care Provider · Balch Springs, TX
NPI 1104472893 · NPPES record last updated Aug 18, 2019
Key facts
- NPI
- 1104472893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 14807 Green Valley Dr
Balch Springs, TX 75180-2507 - Phone
- (214) 728-2639
- NPI assigned
- Aug 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
14807 Green Valley Dr
Balch Springs, TX 75180-2507
Mailing address
14807 Green Valley Dr
Balch Springs, TX 75180-2507
Phone (214) 728-2639
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.