GNP Stevelynn J. Pogue, NPI 1245214808
Gerontology Nurse Practitioner in Dallas, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1245214808
NPI Entity Type Individual
Provider Name GNP Stevelynn J. Pogue
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 9202 Elam Rd, Southeast Dallas Health Center, Dallas, TX, US
Provider Mailing Address Po Box 660599, Dallas, TX, US, 752660599
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363LG0600X

Taxonomy Name Gerontology Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. 416332
License State TX
Description Definition to come...

Business Address

GNP Stevelynn J. Pogue
9202 Elam Rd
Southeast Dallas Health Center

Dallas, TX, US

Phone: 214-266-1600

Mailing Address

GNP Stevelynn J. Pogue
Po Box 660599
Dallas, TX, US
ZIP 752660599

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
8Y0754 TX BLUE CROSS BLUE SHIELD 01
138907408 TX MEDICAID 05
138907407 TX MEDICAID 05
138907410 TX MEDICAID 05
138907411 TX MEDICAID 05
138907412 TX MEDICAID 05
500029400 TX RAILROAD MEDICARE 01
138907403 TX MEDICAID 05
138907401 TX MEDICAID 05
138907402 TX MEDICAID 05
138907404 TX MEDICAID 05
138907405 TX MEDICAID 05
138907406 TX MEDICAID 05

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Organization

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