MEDICARE: JAMES R. ALMAND JR MD PROFESSIONAL MEDICAL CENTER ASSOCIATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	C5989	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649453457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES R. ALMAND JR MD PROFESSIONAL MEDICAL CENTER ASSOCIATION

Provider Business Mailing Address
First Line	:	1801 S. CARRIER PARKWAY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75051-3702
Country	:	US
Telephone Number	:	972-262-5272
Fax Number	:	972-262-1921

Provider Business Practice Location Address
First Line	:	1801 S. CARRIER PARKWAY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75051-3702
Country	:	US
Telephone Number	:	972-262-5272
Fax Number	:	972-262-1921

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	DR. JAMES R. ALMAND JR.
Credential	:	MD
Telephone Number	:	972-262-5272

Provider Enumeration Date	:	12/14/2007
Last Update Date	:	05/05/2014

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