Provider Demographics
NPI:1750390910
Name:STAFFING NURSES, INC
Entity type:Organization
Organization Name:STAFFING NURSES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BBA AND MBA
Authorized Official - Phone:214-850-2364
Mailing Address - Street 1:600 S BRYAN BELT LINE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-5000
Mailing Address - Country:US
Mailing Address - Phone:469-726-0062
Mailing Address - Fax:
Practice Address - Street 1:600 S BRYAN BELT LINE RD
Practice Address - Street 2:SUITE A
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-5000
Practice Address - Country:US
Practice Address - Phone:469-726-0062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010841251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010841OtherSTATE LICENSE
TX679689Medicare Oscar/Certification