Provider Demographics
NPI:1689800807
Name:NORTHPARK HEALTH PARTNERS
Entity Type:Organization
Organization Name:NORTHPARK HEALTH PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR & OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:MORAINE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, JD
Authorized Official - Phone:214-239-1224
Mailing Address - Street 1:10000 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 1043
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4177
Mailing Address - Country:US
Mailing Address - Phone:214-239-1224
Mailing Address - Fax:469-364-7940
Practice Address - Street 1:10000 N CENTRAL EXPY
Practice Address - Street 2:SUITE 1043
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4177
Practice Address - Country:US
Practice Address - Phone:214-239-1224
Practice Address - Fax:469-364-7940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care