NPI age
2 years
Enumerated 2023-07-13
● Active Type 2 · Organization
Purple Hearts Integrated Community Outreach Services
Purple Hearts Integrated Community Outreach Services is 1 of 131 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Modisette
Ceo
Last NPPES update
2023-07-13
Source: monthly bulk 2026-05
How this organization compares
Across 131 active clinic/center providers in Texas.
NPI age
2 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-07Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
688 W Pioneer Pkwy Ste 120
Grand Prairie, TX 750514861
Mailing address
688 W Pioneer Pkwy Ste 120
Grand Prairie, TX 750514861
Authorized official
Raven Elliott Modisette, FNP-C, PMHNP-BC
Ceo
📞 2144123523
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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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.