WILLYBROAD CHE


Address: 1341 W Mockingbird Ln, Dallas, TX 75247-6913
Phone: 9726304810

WILLYBROAD CHE (NPI# 1770046807) 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) 1770046807
Entity Type Individual
Full Name WILLYBROAD CHE
Credential NURSE PRACTITIONER
Practice Address 1341 W Mockingbird Ln
Dallas
TX 75247-6913
Mailing Address 1706 Long Meadow Rd
Wylie
TX 75098-0290
Practice Telephone 9726304810
Mailing Telephone 4692868288
Enumeration Date 2019-04-06
Last Update Date 2019-04-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP137559 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1341 W MOCKINGBIRD LN
City DALLAS
State TX
Zip Code 75247-6913

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346243151 Michael C Fitzpatrick Specialist 1341 W Mockingbird Ln, Mockingbird Towers, Ste 710e, Dallas, TX 75247-6913 2005-05-24
1083247522 Nina Anunobi Nurse Practitioner 1341 W Mockingbird Ln, Dallas, TX 75247-6913 2020-02-12
1417322157 Premiere Counseling and Recovery Services Counselor 1341 W Mockingbird Ln, Suite 600, West Tower, Dallas, TX 75247-6913 2015-12-07
1215241211 John G Mchenry Md Mph Pllc Ophthalmology 1341 W Mockingbird Ln, Suite 241, Dallas, TX 75247-6913 2010-08-02
1811223993 Carestaf of Dallas, Lp Home Health 1341 W Mockingbird Ln, Suite 242w, Dallas, TX 75247-6913 2009-10-26
1588899256 Peter Choi Internal Medicine 1341 W Mockingbird Ln, Suite 240e, Dallas, TX 75247-4971 2009-05-24
1477725398 Lifespan Pharmacy Inc Pharmacy 1341 W Mockingbird Ln, Suite 304w, Dallas, TX 75247 2008-04-01
1073654661 Marcus M Stavchansky Pharmacist 1341 W Mockingbird Ln, Suite #400 E, Dallas, TX 75247-6913 2007-02-08
1548310691 Bahar Anbar Physician Assistant 1341 W Mockingbird Ln, Mockingbird Towers, Ste 710e, Dallas, TX 75247-6913 2007-01-11
1104975655 Jeanelle Leilani Kam Obstetrics & Gynecology 1341 W Mockingbird Ln, Suite 200 E, Dallas, TX 75247-6913 2007-01-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558973842 Paramount Medical Rehabilitation LLC Clinic/Center 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 2020-08-19
1750916144 Sunshine Kids Pediatric Day Center, LLC Nursing Care 9127-9131 King Arthur Boulevard, Dallas, TX 75247 2020-03-06
1740789924 Jennifer Pauli Nurse Practitioner 7610 N Stemmons Fwy Ste 360, Dallas, TX 75247 2018-02-02
1669991097 Kai Medical Laboratories, LLC Pathology 8230 Elmbrook Dr Ste 200, Dallas, TX 75247 2017-09-18
1174055610 Hoa Perkins Technician/Technologist 1499 Regal Row Suite 505a, Dallas, TX 75247 2017-04-03
1376910018 Integron LLC Clinical Medical Laboratory 5139 Sharp Street, Dallas, TX 75247 2015-08-28
1710364575 T.e.a.m. Community/Behavioral Health 1140 Empire Central Blvd, 520, Dallas, TX 75247 2015-04-30
1093053126 Guardian Health Systems Aurora Pharmacy 7920 Elmbrook Drive Suite 108, Suite 108, Dallas, TX 75247 2013-01-24
1457665317 Pediatric Home Healthcare, LLC Home Health 1341 W Mockingbird Ln Ste 245e, Dallas, TX 75247 2010-08-03
1275846388 Another Chancee, Inc. Social Worker 1140 Empire Central Drive, Suite 260, Dallas, TX 75247 2010-07-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City DALLAS
Zip Code 75247

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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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