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Contact Information

A MEDICAL ADVANTAGE HEALTHCARE SYSTEMS ASSOCIATED
214 W COLORADO BLVD
DALLAS, TX75208-2326
 Phone: 214-943-9431
 Fax: 214-943-9407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for A MEDICAL ADVANTAGE HEALTHCARE SYSTEMS ASSOCIATED · (Female)

NPI Number 1477505592
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2006
Last updated 09/28/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 149612703
  • TX Other 0055GM BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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