NPI age
16 years
Enumerated 2009-08-03
● Active Type 2 · Organization
Kingsbrook Healthcare Services Pllc
Kingsbrook Healthcare Services Pllc is 1 of 674 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sodimu
President
Last NPPES update
2022-03-24
Source: monthly bulk 2026-05
How this organization compares
Across 674 active clinic/center providers in Texas.
NPI age
16 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-08Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1230 River Bend Dr Ste 107
Dallas, TX 752474916
Mailing address
4600 Mark IV Pkwy Unit 162254
Fort Worth, TX 761615252
Authorized official
Temitayo I Sodimu, NURSE PRACTITIONER
President
📞 2142729008
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Temitayo Osunde-Sodimu, NP Nurse Practitioner NPI 1598912347
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
BloodWorkNow
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.