Provider Demographics
NPI:1851959472
Name:TX NP HEALTH, PLLC
Entity Type:Organization
Organization Name:TX NP HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARRON
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:BALLARD
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, FNP-BC
Authorized Official - Phone:469-877-3812
Mailing Address - Street 1:21755 SYRAH LN
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-9274
Mailing Address - Country:US
Mailing Address - Phone:469-877-3812
Mailing Address - Fax:903-894-8324
Practice Address - Street 1:21755 SYRAH LN
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-9274
Practice Address - Country:US
Practice Address - Phone:469-877-3812
Practice Address - Fax:903-894-8324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1457338196OtherNPPES
TXNP0011OtherMEDICARE
TXFNP001716Medicaid