Provider Demographics
NPI:1043933716
Name:METROPLEX HEALTH SERVICES LLC
Entity type:Organization
Organization Name:METROPLEX HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:YENNYS
Authorized Official - Middle Name:RODRIGUEZ
Authorized Official - Last Name:ALONSO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-CNP
Authorized Official - Phone:214-991-5536
Mailing Address - Street 1:10233 MARIA DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76108-4073
Mailing Address - Country:US
Mailing Address - Phone:214-991-5536
Mailing Address - Fax:
Practice Address - Street 1:9751 WALNUT ST STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-2345
Practice Address - Country:US
Practice Address - Phone:469-730-3130
Practice Address - Fax:469-730-3154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty