National Provider Identifier Database

ADVANCED CARE PROVIDER LLC
Family


Contact Information

ADVANCED CARE PROVIDER, LLC
3116 MARTIN LUTHER KING JR BLVD
DALLAS, TX75215-2414
Phone: 214-956-6995
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ADVANCED CARE PROVIDER, LLC

NPI Number 1508133554
Legal business name
LBN
ADVANCED CARE PROVIDER, LLC
Authorized official ERIC NAIFEH - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/18/2011
Last updated 11/18/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 774559

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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