Provider Demographics
NPI:1346612348
Name:RINEY HEALTHCARE SERVICES, PLLC
Entity Type:Organization
Organization Name:RINEY HEALTHCARE SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RINEY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-BC, FNP-C
Authorized Official - Phone:903-375-3742
Mailing Address - Street 1:PO BOX 733119
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3119
Mailing Address - Country:US
Mailing Address - Phone:903-375-3742
Mailing Address - Fax:
Practice Address - Street 1:72 COUNTY ROAD 44000
Practice Address - Street 2:
Practice Address - City:BLOSSOM
Practice Address - State:TX
Practice Address - Zip Code:75416
Practice Address - Country:US
Practice Address - Phone:903-375-3742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-29
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127622364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily HealthGroup - Single Specialty