Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1285570598 |
| LBN Legal business name | TRIAD COMPLETE HEALTHCARE A06 LLC |
| Authorized official | STEPHEN BAYER - (AUTHORIZED OFFICIAL / OWNER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 04/28/2026 |
| Last updated | 04/28/2026 - About a month ago |
| Identifiers | n/a |
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