Healthcare Provider Details
I. General information
NPI: 1821364324
Provider Name (Legal Business Name): ACCESS AMERICAS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/29/2012
Last Update Date: 03/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1700 COMMERCE ST
DALLAS TX
75201-5314
US
IV. Provider business mailing address
1700 COMMERCE ST
DALLAS TX
75201-5314
US
V. Phone/Fax
- Phone: 214-287-0052
- Fax:
- Phone: 214-287-0052
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 302F00000X |
| Taxonomy | Exclusive Provider Organization |
| License Number | 302FOOOOOX |
| License Number State | AR |
VIII. Authorized Official
Name: MR.
JOE
L
STRONG
Title or Position: CEO/OWNER
Credential:
Phone: 214-287-0052