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NPI Verification

National Provider Identifier: 1477505592

A Medical Advantage Healthcare Systems Associated

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (4)

Physical Medicine & Rehabilitation, Pain Medicine

Code: 2081P2900X

Physician Assistant

Code: 363A00000X

Nurse Practitioner

Code: 363L00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

PO BOX 3770

DALLAS, TX 752081070

Phone: 214-943-9431

NPI Enumeration Date

May 17, 2006

NPI Number

1477505592

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry