Shepherds Gate Life Changing Center

LBN: Shepherds Gate Life Changing Center
Shepherds Gate Life Changing Center is an health care organization with primary practice located at 817 W Pioneer Pkwy Suite 146B, Grand Prairie TX 75051-4710. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Shepherds Gate Life Changing Center can be contacted via phone (972) 522-5665, or through Bennett, Cherie via phone (972) 522-5665.

Contact Information

Primary practice address
817 W Pioneer Pkwy Suite 146B Grand Prairie TX 75051-4710
Phone: (972) 522-5665
Fax: (972) 522-5605
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Cherie Physician Assistant (PA)
Phone: (972) 522-5665

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X PA01240 Texas

Profile Details

NPI number 1326004482
LBN Legal business name Shepherds Gate Life Changing Center
DBA Doing business as
Authorized official Bennett, Cherie Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 20th, 2011 - about 13 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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