Provider Demographics
NPI:1366116360
Name:3D NURSING
Entity type:Organization
Organization Name:3D NURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LAJUAN
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:I
Authorized Official - Credentials:RN
Authorized Official - Phone:682-560-5613
Mailing Address - Street 1:9013 OLD CLYDESDALE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-3547
Mailing Address - Country:US
Mailing Address - Phone:682-560-5613
Mailing Address - Fax:817-453-4220
Practice Address - Street 1:9013 OLD CLYDESDALE DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-3547
Practice Address - Country:US
Practice Address - Phone:682-560-5613
Practice Address - Fax:817-453-4220
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:3D NURSING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-03
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0200XNursing Service ProvidersRegistered NursePediatricsGroup - Single Specialty