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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

NPI # 1477505592
LBN Legal business name A MEDICAL ADVANTAGE HEALTHCARE SYSTEMS ASSOCIATED
Authorized official LINDA RILEY - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2006
Last updated 09/28/2009 - About 17 years ago
Identifiers
TX Medicaid 149612703
TX Other 0055GM BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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