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NPI 1528642402ActiveOrganization· Nurse Practitioner, Family· Grand Prairie, TX
Nurse Practitioner, Family in Grand Prairie, Texas, registered in NPPES in May 2021. The authorized official on file is Antonio Brizuela, NP, Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528642402 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 7, 2021 |
| Last updated in NPPES | May 22, 2025 |
| Certified by provider | May 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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