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Contact Information

AVATAR SERVICES, INC
2129 S GREAT SOUTHWEST PKWY
SUITE # 304
GRAND PRAIRIE, TX75051-3537
 Phone: 972-602-0539
 Fax: 972-602-1401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for AVATAR SERVICES, INC

NPI Number 1225039621
LBN Legal business name AVATAR SERVICES, INC
Authorized official AYESHA SIDDIQI - (ACCOUNTS COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
TX License # 23169
TX Other 4537859 NCPDP #
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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