Healthcare Provider Details

I. General information

NPI: 1689328403
Provider Name (Legal Business Name): ADS VIRTUAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2022
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9715 N FM 620 RD UNIT 5205
AUSTIN TX
78726-2310
US

IV. Provider business mailing address

9715 N FM 620 RD APT 5205
AUSTIN TX
78726-2310
US

V. Phone/Fax

Practice location:
  • Phone: 832-540-4242
  • Fax:
Mailing address:
  • Phone: 832-540-4242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name: ANDREA SIMIEN
Title or Position: OWNER
Credential:
Phone: 726-213-5776