RELYON PRACTITIONER SERVICES, PLLC


Address: 512 N Hampton Rd, 303, Desoto, TX 75115-4920
Phone: 4692318206

RELYON PRACTITIONER SERVICES, PLLC (NPI# 1811351927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811351927
Entity Type Organization
Organization Name RELYON PRACTITIONER SERVICES, PLLC
Practice Address 512 N Hampton Rd
303
Desoto
TX 75115-4920
Practice Telephone 4692318206
Practice Fax Number 9722553958
Mailing Telephone 4692318206
Mailing Fax Number 9722553958
Enumeration Date 2016-04-06
Last Update Date 2016-04-11
Authorized Official Name JACQUELINE NICKSON-YOUNG (CEO)
Authorized Official Telephone 4692318206
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 512 N HAMPTON RD
303
City DESOTO
State TX
Zip Code 75115-4920

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316306566 Devoted Assistance Inc. In Home Supportive Care 512 N Hampton Rd, Desoto, TX 75115-4920 2016-02-16

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NPI Name Taxonomy Address Enumeration
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1295201580 Daniel Max & Marcandrea, LLC Optometrist 1309 E. Pleasant Run Rd, Desoto, TX 75115 2018-10-15
1316432180 Texas Home Health Group of De Soto, LLC Home Health 911 York Drive, Suite 203, De Soto, TX 75115 2018-06-25
1033606694 Dental Health Associates of Texas, PC Dentist 1001 N Beckley, Desoto, TX 75115 2018-04-19
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1396253837 Medical Care Innovation, P.C. Clinic/Center 2019 N Interstate 35 E, Desoto, TX 75115 2018-01-18
1124534888 Herlonda Dotson Counselor 620 Candelila Drive, Desoto, TX 75115 2017-12-18
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881235646 Michael Besong Akwo-adelowo Nurse Practitioner 412 Sweet Gum Dr, Desoto, TX 75115-5847 2019-10-03
1447809983 Witherspoon Mental Health and Wellness, Pllc Nurse Practitioner 2727 Bolton Boone Dr Ste 104b, Desoto, TX 75115-2019 2019-09-07
1043710239 Elevate Mental Health Consultants Nurse Practitioner 1021 Lilac Ln, Desoto, TX 75115-1496 2018-02-14
1164974986 Keisha Witherspoon Nurse Practitioner 1801 N Hampton Rd Ste 276, Desoto, TX 75115-2391 2016-10-27
1427301597 Johnes Bogonko Monyoncho Nurse Practitioner 1229 E Pleasant Run Rd Ste 128, Desoto, TX 75115-4211 2012-10-26
1508407370 Darren Shang Nurse Practitioner 941 York Dr Ste 205, Desoto, TX 75115-2066 2019-10-03
1306494547 Eucharia Ndidi Onwubuya Nurse Practitioner 941 York Dr Ste 205, Desoto, TX 75115-2066 2019-08-30
1386292001 Kimberly Nneka Onwubuya Nurse Practitioner 941 York Dr Ste 205, Desoto, TX 75115-2066 2019-08-27
1326518085 Roel Sepulveda Nurse Practitioner 941 York Dr Ste 205, Desoto, TX 75115-2066 2018-11-26
1982110573 Johnes & Gerald, LLC Nurse Practitioner 1229 E Pleasant Run Rd Ste 128, Desoto, TX 75115-4211 2017-12-19
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Competitor

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City DESOTO
Zip Code 75115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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