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NPI Code Detail

MEDICARE: ALL STATE MANAGEMENT GROUP

MEDICARE: ALL STATE MANAGEMENT GROUP
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1083567630
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL STATE MANAGEMENT GROUP
Provider Business Mailing Address
First Line : 10367 SHELBURNE DR
Second Line :
City : DALLAS
State : TX
Zip : 75227-7667
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10367 SHELBURNE DR
Second Line :
City : DALLAS
State : TX
Zip : 75227-7667
Country : US
Telephone Number : 214-403-5345
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RONEASHA NEAL
Credential :
Telephone Number : 214-403-5345
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ALL STATE MANAGEMENT GROUP ” Practice Location

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