Provider Demographics
NPI:1225665680
Name:CHECK POINT HEALTH LLC
Entity Type:Organization
Organization Name:CHECK POINT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HYLAND
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-660-4601
Mailing Address - Street 1:6207 WALNUT HILL LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-5114
Mailing Address - Country:US
Mailing Address - Phone:469-358-7292
Mailing Address - Fax:
Practice Address - Street 1:6207 WALNUT HILL LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-5114
Practice Address - Country:US
Practice Address - Phone:469-358-7292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-25
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP1395OtherTEXAS MEDICAL LICENSE
TXAP140556OtherAPN LICENSE NUMBER