NKE NEW LEAF LLC; NPI #1366796724

Contact Information

NKE NEW LEAF LLC

10921 PELLICANO DR STE 110
EL PASO, TX 79935

Phone: 915-313-4114
Fax: 915-313-4939
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Professional	101YP2500X

Indicates primary specialty

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NPI Profile & details for NKE NEW LEAF LLC

NPI Number 1366796724

LBN Legal business name NKE NEW LEAF LLC

Authorized official NOE LOPEZ - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/06/2012

Last updated 09/01/2021 - About 5 years ago

Identifiers

TX	License #	66155
TX	Medicaid	2915829
TX	Medicaid	3898868

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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NKE NEW LEAF LLC

Contact Information

Specialty

Professional

NPI Profile & details for NKE NEW LEAF LLC

Reviews for NKE NEW LEAF LLC