NPI 1093211526 · live from the CMS NPI Registry
Joaquin Adame
Nurse Practitioner, Pediatrics in Dallas, TX. National Provider Identifier 1093211526, active.
NPI record
| NPI | 1093211526 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 655 W Illinois Ave Ste 916, Dallas, TX 75224 |
| Practice phone | 214-941-7611 |
| Mailing address | 122 W John Carpenter Fwy Ste 420, Irving, TX 75039 |
| Enumerated | April 3, 2018 |
| Last updated | April 3, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | AP137045 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.