South Loop 12 Medical Clinic LLC
South Loop 12 Medical Clinic LLC provides Family Nurse Practitioner services in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3232 Great Trinity Forest Way Ste 102Dallas, TX 75216-7732 Not confirmed with CMS for 11 years — call before visiting
Phone: (214) 398-4157
Fax: (214) 398-4326
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
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 528675 (TX) |
|---|
Record details
| NPI number | 1417034745 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Connie Nellum — Family Nurse Pactitione Certified · (214) 398-4157 |
| NPI enumerated | November 1, 2006 |
| Last updated in NPPES | October 9, 2014 |
| Mailing address | 3232 Great Trinity Forest Way, Ste. 102, Dallas, TX 75216-7732 |
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