Purple Hearts Primary Care Services
LBN: Purple Hearts Primary Care Services, Pllc
Purple Hearts Primary Care Services is an health care organization with primary practice located at 688 W Pioneer Pkwy Ste 120 , Grand Prairie TX 75051-4861. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Purple Hearts Primary Care Services, Pllc can be contacted via phone (817) 969-4651, or through Modisette, Raven via phone (817) 969-4651.
Contact Information
Primary practice address
688 W Pioneer Pkwy Ste 120
Grand Prairie TX 75051-4861
Phone: (817) 969-4651
Fax: (214) 710-2188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | AP137299 | Texas |
Profile Details
| NPI number | 1043703358 |
|---|---|
| LBN Legal business name | Purple Hearts Primary Care Services, Pllc |
| DBA Doing business as | Purple Hearts Primary Care Services |
| Authorized official | Modisette, Raven FNP-C,PMHNP-BC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 11th, 2018 |
| Last updated | Dec 7th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043703358 | NPPES |
| Texas | MEDICAID | 393575101 |
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