HENDAWI FAMILY PRACTICE (NPI# 1013542174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013542174 |
| Entity Type | Organization |
| Organization Name | HENDAWI FAMILY PRACTICE |
| Practice Address |
14902 Preston Rd Ste 404 Dallas TX 75254 |
| Mailing Address |
14902 Preston Rd Ste 404 Dallas TX 75254-9105 |
| Practice Telephone | 5166992589 |
| Practice Fax Number | 5165345059 |
| Mailing Telephone | 5166992589 |
| Mailing Fax Number | 5165345059 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | TARIQ HENDAWI (OWNER) |
| Authorized Official Telephone | 5166992589 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14902 PRESTON RD STE 404 |
| City | DALLAS |
| State | TX |
| Zip Code | 75254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154863421 | Safe Guidance, Pllc | Electrodiagnostic Medicine | 14902 Preston Rd Ste 404, #811, Dallas, TX 75254-9105 | 2016-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119479 | Danielle Nicole Tolliver | Occupational Therapist | 4651 Dallas Pkwy, Suite 200, Dallas, TX 75254 | 2020-06-19 |
| 1164981593 | Christopher Richardson | Behavior Technician | 14785 Preston Rd Suite 550, Dallas, TX 75254 | 2019-03-15 |
| 1295224582 | Gerald Blake Ashlock | Counselor | 14400 Montfort Dr, Apt 1605, Dallas, TX 75254 | 2018-05-02 |
| 1851890685 | Gayle Deniese Hillman | Counselor | 14117 Montfort Dr, Dallas, TX 75254 | 2018-02-07 |
| 1568987386 | Riverstone Care LLC | Community/Behavioral Health | 14145 Noel Rd, 206, Dallas, TX 75254 | 2017-08-14 |
| 1548781594 | Cataract Vision Institute of Texas, Pllc | Ophthalmology | 14160 N. Dallas Pkwy, Ste 100, Dallas, TX 75254 | 2017-06-29 |
| 1366972911 | Terry Ku | Dentist | 5100 Belt Line Rd #312, Addison, TX 75254 | 2017-06-15 |
| 1932552338 | Rashonda Poston | Developmental Therapist | 5902 Preston Oaks Rd, Apt 2093, Dallas, TX 75254 | 2016-07-20 |
| 1326452699 | Anita Griffin | Specialist/Technologist | 5220 Spring Valley Road, Suite 400, Dallas, TX 75254 | 2014-06-16 |
| 1669721973 | Steve Willis Tobias | Physician Assistant | 5917 Beltline, Dallas, TX 75254 | 2012-08-31 |
| Find all providers in zip 75254 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801191747 | Thuy Vu | Clinical Nurse Specialist | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2011-01-25 |
| 1033427166 | Dorothy Marie Williamson | Clinical Nurse Specialist | 630 N Bishop Ave, Dallas, TX 75208-4335 | 2010-09-23 |
| 1598701641 | Cheryl Fostel | Clinical Nurse Specialist | 8150 N Central Expy, Suite M1001, Dallas, TX 75206-1815 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952103 | Elizabeth Wanjiku Muita | Clinical Nurse Specialist | 4206 Stoney Knoll Ln, Katy, TX 77494-1055 | 2020-11-07 |
| 1558962456 | Keara Rona' Johnson | Clinical Nurse Specialist | 2775 N State Highway 360 Apt 1021, Grand Prairie, TX 75050-7810 | 2020-11-06 |
| 1417503624 | Kamilah Jewel Lyon | Clinical Nurse Specialist | 1111 S Houston Ave # A, Humble, TX 77338-4820 | 2019-08-13 |
| 1578123402 | Carrie Viola Phillips | Clinical Nurse Specialist | 9478 Homestead Ln., Forney, TX 75126 | 2019-06-13 |
| 1073088571 | Lynne Darlene Piascik | Clinical Nurse Specialist | 1643 County Road 2291, Cleveland, TX 77327-0450 | 2018-10-11 |
| 1558843144 | Abc Health Connection, Inc. | Clinical Nurse Specialist | 2019 Crawford St Rm 128, Houston, TX 77002-9002 | 2018-08-30 |
| 1225570096 | Kimberly Young | Clinical Nurse Specialist | 3234 Mossy Elm Ct, Houston, TX 77059-3228 | 2016-11-10 |
| 1245772128 | Wallace Watts Jr. | Clinical Nurse Specialist | 101 Potasio Street, Fabens, TX 79838 | 2016-11-09 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1184179574 | Tamitha Elaine Mackey | Clinical Nurse Specialist | 18419 Vanhorn Ct, Spring, TX 77379-5153 | 2016-08-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.