South Polk Medical Clinic LLC
South Polk Medical Clinic LLC is a Nurse Practitioner in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2007.
- Licensed in
- TX
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3436 S Polk StDallas, TX 75224-3804
Phone: (214) 372-1051
Fax: (214) 372-9201
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 578285 (TX) |
|---|
Record details
| NPI number | 1043351760 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | El Greco Roberts — Vice President Of Business Affairs · (214) 372-1051 |
| NPI enumerated | February 8, 2007 |
| Last updated in NPPES | July 26, 2011 |
| Mailing address | 3436 S Polk St, Dallas, TX 75224-3804 |
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