Johanna Congleton, Cnm, Pa

LBN: Johanna Congleton, Cnm, Pa
Johanna Congleton, Cnm, Pa is an health care organization with primary practice located at 9 Medical Pkwy Plaza 4 Ste 103, Dallas TX 75234-7858. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as the primary health care specialty. Johanna Congleton, Cnm, Pa can be contacted via phone (972) 406-9911, or through Ellis, Malathi via phone (972) 406-9911.

Contact Information

Primary practice address
9 Medical Pkwy Plaza 4 Ste 103 Dallas TX 75234-7858
Phone: (972) 406-9911
Fax: (972) 406-9930
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Malathi Doctor of Medicine (MD)
Phone: (972) 406-9911

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM1795 Texas

Profile Details

NPI number 1447672357
LBN Legal business name Johanna Congleton, Cnm, Pa
DBA Doing business as
Authorized official Ellis, Malathi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2014
Last updated Jul 27th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447672357 NPPES
Texas MEDICAID 345079301
Texas Other 744687
Texas Other 15228

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