Provider Demographics
NPI:1265047666
Name:NP HEALTHCARE ASSOCIATES, LLC
Entity type:Organization
Organization Name:NP HEALTHCARE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:DEMISHE
Authorized Official - Middle Name:
Authorized Official - Last Name:FONTENOT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:682-804-8088
Mailing Address - Street 1:1901 SOUTHEAST PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-3605
Mailing Address - Country:US
Mailing Address - Phone:682-804-8088
Mailing Address - Fax:954-246-1546
Practice Address - Street 1:1901 SOUTHEAST PKWY STE 101
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-3605
Practice Address - Country:US
Practice Address - Phone:682-206-3040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-11
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care