Cloud, Courtney Kay
Cloud, Courtney Kay is an individual health care provider with primary practice located at 7515 Greenville Ave Suite 1030, Dallas TX 75231-3831. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cloud, Courtney Kay can be contacted via phone (214) 691-2111.Contact Information
Primary practice address
7515 Greenville Ave Suite 1030
Dallas TX 75231-3831
Phone: (214) 691-2111
Fax: (469) 916-8713
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA05170 | Texas |
Profile Details
NPI number | 1174653448 |
---|---|
LBN Legal business name | Cloud, Courtney Kay |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 6th, 2007 |
Last updated | Aug 22nd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174653448 | NPPES |
Texas | MEDICAID | 217092004 | |
Texas | MEDICAID | 217092005 | |
Texas | MEDICAID | 217092003 |
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