Provider Demographics
NPI:1780277731
Name:EXCEED HEALTH CLINIC
Entity type:Organization
Organization Name:EXCEED HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/APRN
Authorized Official - Prefix:
Authorized Official - First Name:DIXIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-278-8156
Mailing Address - Street 1:3725 MALL DR.
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75501-2658
Mailing Address - Country:US
Mailing Address - Phone:903-306-0001
Mailing Address - Fax:866-232-5707
Practice Address - Street 1:3725 MALL DR.
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75501-2658
Practice Address - Country:US
Practice Address - Phone:903-306-0001
Practice Address - Fax:866-232-5707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty