SOUTH POLK MEDICAL CLINIC LLC
NPI 1043351760
Nurse Practitioner in Dallas, TX
About South Polk Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH POLK MEDICAL CLINIC LLC (NPI 1043351760) is a healthcare organization registered as a nurse practitioner in Dallas, Texas and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 21, 2027 and lists El Greco Roberts, Vice President Of Business Affairs, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Other Identifiers 12
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D1011714
South Polk Medical Clinic Gwenita Roberts Fnp C · Dallas, TXOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is South Polk Medical Clinic LLC's NPI number?
The NPI number for South Polk Medical Clinic LLC is 1043351760. It was assigned to this organization in the NPPES registry on February 8, 2007.
Where is South Polk Medical Clinic LLC located?
South Polk Medical Clinic LLC is located at 3436 S Polk St, Dallas, TX 75224. The listed phone number is (214) 372-1051.
What is South Polk Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Does South Polk Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D1011714) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does South Polk Medical Clinic LLC accept?
Health plans from Molina Healthcare and WellPoint list South Polk Medical Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for South Polk Medical Clinic LLC was last updated on July 26, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.
