POTTERS HOUSE FAMILY CLINIC LLC (NPI# 1326391947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326391947 |
| Entity Type | Organization |
| Organization Name | POTTERS HOUSE FAMILY CLINIC LLC |
| Practice Address |
7125 Marvin D Love Fwy Ste 207 Dallas TX 75237-3175 |
| Practice Telephone | 2146073650 |
| Mailing Telephone | 2146073650 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2013-04-15 |
| Authorized Official Name | IMMACULATA INYANG (CEO) |
| Authorized Official Telephone | 2146073650 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
808591 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7125 MARVIN D LOVE FWY STE 207 |
| City | DALLAS |
| State | TX |
| Zip Code | 75237-3175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427161595 | Colquitt & Associates Resource Group, Inc. | Spec/Tech, Cardiovascular | 7125 Marvin D Love Fwy, Suite 201a, Dallas, TX 75237-3175 | 2006-08-15 |
| 1154720944 | Terrie Brooks | Massage Therapist | 7125 Marvin D Love Fwy, Suite 301, Dallas, TX 75237-3175 | 2014-08-18 |
| 1245504588 | Immaculata Eme Inyang | Nurse Practitioner | 7125 Marvin D Love Fwy, Suite 207, Dallas, TX 75237-3155 | 2012-03-05 |
| 1790067361 | Promed Marketing LLC | Durable Medical Equipment & Medical Supplies | 7125 Marvin D Love Fwy, 325, Dallas, TX 75237-3175 | 2011-09-09 |
| 1366678799 | Funmilayo Oladun | Case Management | 7125 Marvin D Love Fwy, Suite 302a, Dallas, TX 75237 | 2009-05-29 |
| 1144401647 | Samuel Louis Ramos | Dentist | 7125 Marvin D Love Fwy, 203, Dallas, TX 75237-3175 | 2007-11-26 |
| 1356536627 | Funmilayo Oladun | Durable Medical Equipment & Medical Supplies | 7125 Marvin D Love Fwy, Suite 302, Dallas, TX 75237-3175 | 2007-09-10 |
| 1871786772 | Southwest Center Medical Pa | Family Medicine | 7125 Marvin D Love Fwy, Suite 107, Dallas, TX 75237-3175 | 2007-08-23 |
| 1699979658 | South West Center Medical Pa | Counselor | 7125 Marvin D Love Fwy, Suite 107, Dallas, TX 75237-3175 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223372 | Advanced Medical Services Associates, LLC | Clinic/Center | Advanced Urgent Care Center, 3690 W Wheatland Rd, Suite 150, Dallas, TX 75237 | 2020-10-20 |
| 1225520455 | Ethan William Gingras | Nurse Practitioner | 39769 I-20, Dallas, TX 75237 | 2018-06-04 |
| 1376031450 | Maria North | Student in an Organized Health Care Education/Training Program | Methodist Charlton Medical Center, 3500 W. Wheatland Road, Dallas, TX 75237 | 2018-04-25 |
| 1639671118 | Arquimedes Hernandez Perez | Registered Nurse | 6010 S Westmoreland Rd 423, Dallas, TX 75237 | 2018-03-01 |
| 1275055832 | Tanaka Transport | Non-emergency Medical Transport (VAN) | 4353 Gannon Ln Ste 103-a, Dallas, TX 75237 | 2017-07-14 |
| 1730620543 | Joshua Vong | Physical Therapist | 3107 W. Camp Wisdom Road Suite 131, Dallas, TX 75237 | 2017-03-13 |
| 1821537507 | Votka Sbong | Chiropractor | 2525 W. Wheatland Rd. Ste 230, Dallas, TX 75237 | 2017-02-15 |
| 1508304957 | Archana Srivastava Md Pa | Internal Medicine | 4305 W. Wheatland Road, Suite 130, Dallas, TX 75237 | 2017-02-06 |
| 1295272045 | Stafford Family Enterprises LLC | Dentist | 3306 West Camp Wisdom, Suite 100, Dallas, TX 75237 | 2017-01-31 |
| 1891170585 | Philip James Tyler | Chiropractor | 7125 Marvin D Love Fwy Ste 107, Dallas, TX 75237 | 2015-07-23 |
| Find all providers in zip 75237 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1699376723 | David James Wainwright | Nurse Practitioner | 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 | 2020-11-04 |
| 1528668860 | Nicole Chadwick | Nurse Practitioner | 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 | 2020-10-27 |
| 1952901415 | Melissa Green | Nurse Practitioner | 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 | 2020-10-26 |
| 1194324640 | Busola Stella Amurawaiye | Nurse Practitioner | 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 | 2020-10-25 |
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1689288276 | Chinyere Ezeh | Nurse Practitioner | 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 | 2020-09-01 |
| 1992317341 | Modern Enhancement | Nurse Practitioner | 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 | 2020-08-18 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1528678083 | Esther Siriba | Nurse Practitioner | 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 | 2020-08-08 |
| Find all providers in DALLAS | ||||
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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.