Advanced Care

NPI 1104119098 - Technician - 3747P1801X

NPI Details
NPI 1104119098
Enumeration Date 05/25/2011
Last Updated 05/25/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TAMARA NICOLE TAMARA
Position SOLE OWNER/ CEO
Phone (469) 426-4445
Fax
Practice Location
1422 BOGARD LN
LEWISVILLE TX, 75077-7647, US
Phone (469) 426-4445
Fax
Business Location
PO BOX 292322
LEWISVILLE TX, 75029-2322, US
Phone (469) 426-4445
Fax
Toxanomy
Taxonomy Code 3747P1801X
License State Texas
License Number 2011-2858
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According to our database, Advanced Care NPI is 1104119098, taxonomy code is 3747P1801X and license number is 2011-2858, license state is located at Texas. Advanced Care physically located at 1422 Bogard Ln, Lewisville TX, 75077-7647. NPI Number 1033115704 has the healthcare provider type.

1104119098 NPI number is provided on an as is basis without warranty of any kind. 1104119098 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Care are for informational purposes only.