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NPI Code Detail

MEDICARE: HEALTHCARE MANAGEMENT PARTNERS OF DALLAS, LLC

MEDICARE: HEALTHCARE MANAGEMENT PARTNERS OF DALLAS, LLC
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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1013082122
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHCARE MANAGEMENT PARTNERS OF DALLAS, LLC
Provider Business Mailing Address
First Line : 201 HOLLYWOOD BLVD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-2016
Country : US
Telephone Number : 615-584-0719
Fax Number : 615-523-1835
Provider Business Practice Location Address
First Line : 505 W CENTERVILLE RD
Second Line :
City : GARLAND
State : TX
Zip : 75041-5445
Country : US
Telephone Number : 972-278-3566
Fax Number : 972-840-0888
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : MR. DEREK PIERCE
Credential :
Telephone Number : 615-584-0719
Provider Enumeration Date : 11/22/2006
Last Update Date : 02/06/2008

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