ADVANCED CARE PROVIDER, LLC; NPI #1508133554

Contact Information

ADVANCED CARE PROVIDER, LLC

3116 MARTIN LUTHER KING JR BLVD
DALLAS, TX 75215-2414

Phone: 214-956-6995
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for ADVANCED CARE PROVIDER, LLC

NPI # 1508133554

LBN Legal business name ADVANCED CARE PROVIDER, LLC

Authorized official ERIC NAIFEH - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/18/2011

Last updated 11/18/2011 - About 15 years ago

Identifiers

License #

774559

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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ADVANCED CARE PROVIDER, LLC

Contact Information

Specialty

Family

NPI Profile & details for ADVANCED CARE PROVIDER, LLC

Reviews for ADVANCED CARE PROVIDER, LLC