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General NPI Number Information
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NPI Number | 1457815052
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Entity Type | Organization
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Legal Business Name | ACHIEVE HEALTH PHYSICIAN SERVICES, PLLC
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 04/14/2023
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Provider Practice Location Address
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Address Line | 350 WESTPARK WAY STE 103
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City | EULESS
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State | TX
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Zip | 76040-3715
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Country | US
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Telephone | 817-508-8030
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Fax | 817-398-4029
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Provider Business Mailing Address
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Address Line | 350 WESTPARK WAY STE 103
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City | EULESS
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State | TX
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Zip | 76040-3715
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Country | US
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Telephone | 817-508-8030
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Fax | 817-398-4029
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICK RYAN NOLEN
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Credential | DO
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Telephone | 817-705-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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