Dallas Navarro Healthcare Services LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

245458 Issued in TX

Legal business name

DALLAS NAVARRO HEALTHCARE SERVICES LLC

Practice address

4432 Malcolm X Blvd
Dallas, TX 75215-4349

Phone

(214) 428-2010

NPI assigned

Nov 7, 2011

Last updated

Nov 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruth E Greer, RNCSNPI 1144314584

Title

Owner

Phone

(214) 428-2010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ruth Elaine Greer, FNP

  • Acute Care Nurse Practitioner
  • Dallas, TX
  • NPI 1144314584
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1801173786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 MALCOLM X BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752154349",
            "telephone_number": "214-428-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 MALCOLM X BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752154349",
            "telephone_number": "214-428-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS NAVARRO HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-428-2010",
        "authorized_official_credential": "RNCS"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "245458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.