Provider Demographics
NPI:1326661703
Name:DPC HEALTH PLLC
Entity Type:Organization
Organization Name:DPC HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-200-0035
Mailing Address - Street 1:4561 HERITAGE TRACE PKWY STE 109
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-8907
Mailing Address - Country:US
Mailing Address - Phone:682-200-0035
Mailing Address - Fax:682-708-6150
Practice Address - Street 1:4561 HERITAGE TRACE PKWY STE 109
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-8907
Practice Address - Country:US
Practice Address - Phone:682-200-0035
Practice Address - Fax:682-708-6150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care