North Texas Neighborhood Medical Clinic, PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

NORTH TEXAS NEIGHBORHOOD MEDICAL CLINIC, PLLC

Practice address

1705 Martin Luther King Jr Blvd
Ste C
Dallas, TX 75215-3222

Phone

(214) 425-5935

Fax

(972) 919-0425

NPI assigned

May 20, 2016

Organization subpart

No

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

Authorized official

Name

Derrick Love-Jones, APRN

Title

Owner

Phone

(214) 425-5935

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1427405364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 SKILLMAN ST",
            "address_2": "STE 110-359",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752068559",
            "telephone_number": "214-425-5935",
            "fax_number": "972-919-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 MARTIN LUTHER KING JR BLVD",
            "address_2": "STE C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752153222",
            "telephone_number": "214-425-5935",
            "fax_number": "972-919-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS NEIGHBORHOOD MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "LOVE-JONES",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-425-5935",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.