South Loop 12 Medical Clinic Llc

  • 1417034745 NPI Number
  • |
  • Actived: 17 years ago
  • |
South Loop 12 Medical Clinic Llc is a health care provider based in Dallas, TX. The NPI Number is 1417034745 and it has been active since 17 years ago. The specialty is Family, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Family services, South Loop 12 Medical Clinic Llc is an excellent option. We are here to help you get the care you need.

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Overview of South Loop 12 Medical Clinic Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 11/01/2006
  • Last updated: 10/09/2014

Primary Scrop of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 528675
  • License State: TX

Provider Mailing Address

  • Address: 3232 Great Trinity Forest Way
    Ste. 102
    Dallas, TX 75216
  • Phone: 214-398-4157
  • Fax: 214-398-4326

Provider Practice Location

  • Address: 3232 Great Trinity Forest Way
    Ste. 102
    Dallas, TX 75216
  • Phone: 214-398-4157
  • Fax: 214-398-4326

Authorized Official

  • Name: MS. Connie Frances Nellum MS, APRN-C
  • Position/Title: Family Nurse Pactitione Certified
  • Telephone Number: 214-398-4157

Scope of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 528675
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 5608640
  • Identifier Type: Other
  • Identifier State: TX
  • Issuer: FIRST HEALTH PROVIDER ID

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for South Loop 12 Medical Clinic Llc?
  • A: The npi number for South Loop 12 Medical Clinic Llc is 1417034745.
  • Q: What are South Loop 12 Medical Clinic Llc's specialties?
  • A: South Loop 12 Medical Clinic Llc's specialties are Family and different specialities.
  • Q: Where is South Loop 12 Medical Clinic Llc business practice location?
  • A: South Loop 12 Medical Clinic Llc business practice location is 3232 Great Trinity Forest Way, Dallas, TX 75216.
  • Q: How to contact South Loop 12 Medical Clinic Llc?
  • A: You can contact South Loop 12 Medical Clinic Llc via 214-398-4157.
  • Q: What is the authorized official for South Loop 12 Medical Clinic Llc?
  • A: The authorized office name is MS. Connie Frances Nellum MS, APRN-C with position/title is Family Nurse Pactitione Certified and you can reach the authorized official via phone number 2143984157.
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