Tripp, Adam Edward

Tripp, Adam Edward is an individual health care provider with primary practice located at 11910 Greenville Ave Ste 511 , Dallas TX 75243-9388. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Tripp, Adam Edward can be contacted via phone (214) 937-9180.

Contact Information

Primary practice address
11910 Greenville Ave Ste 511 Dallas TX 75243-9388
Phone: (214) 937-9180
Fax: (214) 253-8017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Peer Specialist 175T00000X 1246-0521 Texas

Profile Details

NPI number 1730816067
LBN Legal business name Tripp, Adam Edward
Credentials RSPS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2022
Last updated Aug 5th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730816067 NPPES
Texas Other 1246-0521 TEXAS CERTIFICATION BOARD

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