Advantage Medical Clinic

NPI 1174861066 - Family Medicine - 207Q00000X

NPI Details
NPI 1174861066
Enumeration Date 01/28/2013
Last Updated 01/28/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name LINDA LINDA
Position ADMINISTRATOR
Phone (214) 943-9431
Fax (214) 943-9407
Practice Location
214 W COLORADO BLVD
DALLAS TX, 75208-2326, US
Phone (214) 943-9431
Fax (214) 943-9407
Business Location
PO BOX 226656
DALLAS TX, 75222-6656, US
Phone (214) 913-9431
Fax (214) 943-9407
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Advantage Medical Clinic NPI is 1174861066, taxonomy code is 207Q00000X Advantage Medical Clinic physically located at 214 W Colorado Blvd, Dallas TX, 75208-2326. NPI Number 1033115704 has the healthcare provider type.

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1174861066 NPI number is provided on an as is basis without warranty of any kind. 1174861066 is maintained by the National Plan & Provider Enumeration System. The contents of Advantage Medical Clinic are for informational purposes only.