Provider Demographics
NPI:1982296638
Name:N3VISION HEALTHCARE ENTERPRISE INC
Entity Type:Organization
Organization Name:N3VISION HEALTHCARE ENTERPRISE INC
Other - Org Name:BRIGHTSTAR CARE DENTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAGRAJ
Authorized Official - Middle Name:K
Authorized Official - Last Name:VENKATARAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:NAGRAJ VENKATARAMAN
Authorized Official - Phone:469-231-8392
Mailing Address - Street 1:13175 ALLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-7931
Mailing Address - Country:US
Mailing Address - Phone:469-231-8392
Mailing Address - Fax:
Practice Address - Street 1:1300 FULTON ST STE 300B
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2609
Practice Address - Country:US
Practice Address - Phone:469-231-8392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-04
Last Update Date:2024-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0OtherINSURERS
TX0Medicaid