MAE MAGDALEN CENTENO


Address: 621 N Hall St, Suite 120, Dallas, TX 75226-1339
Phone: 2148201740

MAE MAGDALEN CENTENO (NPI# 1316070287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316070287
Entity Type Individual
Full Name MAE MAGDALEN CENTENO
Other Name MAE MAGDALEN CENTENO
Credential MS RN,CCRN,CCNS,ACNS
Practice Address 621 N Hall St
Suite 120
Dallas
TX 75226-1339
Mailing Address 6800 Amethyst Ln
Plano
TX 75023-1936
Practice Telephone 2148201740
Practice Fax Number 2148201638
Mailing Telephone 9725176145
Enumeration Date 2007-03-13
Last Update Date 2009-07-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
552502 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 621 N HALL ST
SUITE 120
City DALLAS
State TX
Zip Code 75226-1339

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609855139 Baylor Heart & Vascular Center LLP Special Hospital 621 N Hall St, Dallas, TX 75226-1339 2006-01-12
1174159438 Anna Catherine Howard Wolynec Nurse Practitioner 621 N Hall St, Dallas, TX 75226-1339 2020-03-19
1821642760 Kelly Nicole Dorsey Nurse Practitioner 621 N Hall St, Dallas, TX 75226-1339 2019-07-29
1780153775 Tiffany Joco Nurse Practitioner 621 N Hall St, Dallas, TX 75226-1339 2018-11-19
1558851451 Shannon Marissa Holdren Nurse Practitioner 621 N Hall St, Dallas, TX 75226-1339 2018-05-16
1598277386 Chelsea Leigh Hampton Nurse Practitioner 621 N Hall St, Dallas, TX 75226-1339 2017-11-01
1922553320 Tneecia Applewhite Nurse Practitioner 621 N Hall St, Dallas, TX 75226-1339 2016-08-16
1750834164 Marianne Siebert Physician Assistant 621 N Hall St, Suite 400, Dallas, TX 75226-1339 2016-08-02
1225493711 Patricia Ann Melly Physician Assistant 621 N Hall St, Ste 530, Dallas, TX 75226-1339 2015-12-28
1023486057 Baylor Heart & Vascular Center LLP Physician Assistant 621 N Hall St, Dallas, TX 75226-1339 2015-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942827894 Kendra Jenay Dawson Physical Therapist Genesis Pt and Wellness, Pllc, 4428 Main Street Suite 100, Dallas, TX 75226 2020-06-26
1881180867 Sara Bahmanyar Dentist 3000 Gaston Ave, 6th Floor, Attn: Oral & Maxillofacial Surgery, Dallas, TX 75226 2018-07-02
1437679669 An Hai Van Dang Dentist 2732 Gaston Ave., 3210, Dallas, TN 75226 2017-06-20
1164847661 Robert Fredrickson Chiropractor 4015 Main Street, Suite 100, Dallas, TX 75226 2014-02-20
1285826495 Maninder Jeet Kaur General Acute Care Hospital Baylor Heart and Vascular Hospital, Dallas, TX 75226 2007-08-11
1124178827 Westmoreland Dental & Orthodontics, Pa Dentist 4809 Columbia Avenue, Suite B, Dallas, TX 75226 2007-01-12
1912918798 Texas A&m University System Health Science Center Dentist 3000 Gaston Ave, Dallas, TX 75226 2006-08-10
1750302725 Dallas Compounding Phcy Pharmacy 3001 A Gaston Ave, Dallas, TX 75226 2006-07-22
1124645452 Samir Gwalani Student in an Organized Health Care Education/Training Program 3000 Gaston Ave, 6th Floor, Dallas, TX 75226 2020-07-02
1831383116 Texas A&m University System Health Science Center Dentist 3000 Gaston Ave, Dallas, TX 75226 2007-08-30
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Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225667983 Sonya Alexandra Flanders Clinical Nurse Specialist 2001 Bryan St Ste 600, Dallas, TX 75201-3062 2020-04-05
1588139364 Sharon Nicole Hester Clinical Nurse Specialist 3410 Worth St Ste 545, Dallas, TX 75246-2003 2018-10-09
1134125990 Michael Hyder Limerick Clinical Nurse Specialist 2909 Lemmon Ave, Dallas, TX 75204-2311 2005-06-24
1316504079 Susan Smith Clinical Nurse Specialist 3500 Gaston Ave, Dallas, TX 75246-2088 2019-05-28
1932513033 Ira Allene Goetz Clinical Nurse Specialist 5323 Harry Hines Blvd, Dallas, TX 75390-7208 2014-06-17
1538412176 Staci Michelle Mckean Clinical Nurse Specialist 3410 Worth St, Suite 250, Dallas, TX 75246-2003 2012-10-19
1982922100 Megan Marie Wheeler Clinical Nurse Specialist 1441 N Beckley Ave, 3rd Floor, Pavillion 2, Dallas, TX 75203-1201 2010-05-12
1487899951 Asha M White Clinical Nurse Specialist 3600 Gaston Ave, Suite 651, Dallas, TX 75246-1800 2008-12-11
1649421546 Susan Mendoza Clinical Nurse Specialist 4500 S Lancaster Road, Va North Texas Health Care System, Dallas, TX 75216 2008-10-09
1487699815 Norma Ann Applewhite Clinical Nurse Specialist 8160 Walnut Hill Ln, 113, Dallas, TX 75231-4339 2006-06-19
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Competitor

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City DALLAS
Zip Code 75226

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Dataset Information

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.

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