Purple Amphibian, Llc

LBN: Purple Amphibian, Llc
Purple Amphibian, Llc is an health care organization with primary practice located at 7451 Chapel Ave , Fort Worth TX 76116-7090. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as the primary health care specialty. Purple Amphibian, Llc can be contacted via phone (817) 926-2544, or through Pannell, Cece J via phone (817) 294-7444.

Contact Information

Primary practice address
7451 Chapel Ave Fort Worth TX 76116-7090
Phone: (817) 926-2544
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pannell, Cece J
Phone: (817) 294-7444

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 648218 Texas

Profile Details

NPI number 1881850295
LBN Legal business name Purple Amphibian, Llc
DBA Doing business as
Authorized official Pannell, Cece J
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2008
Last updated Jun 17th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881850295 NPPES
Texas Other 0025KE BCBS TX

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