Provider Demographics
NPI:1497269013
Name:RK FIRST ASSIST, PLLC
Entity Type:Organization
Organization Name:RK FIRST ASSIST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:RENEA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRTALIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-676-0810
Mailing Address - Street 1:PO BOX 3353
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79116-3353
Mailing Address - Country:US
Mailing Address - Phone:806-676-0810
Mailing Address - Fax:
Practice Address - Street 1:4705 SHAWNEE TRL
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-5937
Practice Address - Country:US
Practice Address - Phone:806-676-0810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-17
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129163363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty