Priscila Vidal
Nurse Practitioner - Pediatrics
74 Mcmakin Rd Ste 205
Bartonville
, Texas 76226-8438
Priscila Vidal
Nurse Practitioner - Pediatrics
74 Mcmakin Rd Ste 205
Bartonville
, Texas 76226-8438
(817) 740-8450
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Priscila Vidal
- Po Box 961205
- Forth Worth, TX
- Zip : 76161-1205
- Phone : (817) 740-8450
Second Address
- Priscila Vidal
- 74 Mcmakin Rd Ste 205
- Bartonville, TX
- Zip : 76226-8438
- Fax : (305) 682-1602
- Phone : (940) 455-7200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 1008694 | TX |
National Provider Identifier
| NPI | 1043209869 |
|---|---|
| Provider Name | Priscila Vidal |
| First Address | Forth Worth, TX 76161-1205 |
| Second Address | Bartonville, TX 76226-8438 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2005 |
| Last Update Date | 26/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.