MEDICARE: AIDS ARMS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	251B00000X	Case Management Agency
3	261QC1500X	Community Health Clinic/Center
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
5	261QM1300X	Multi-Specialty Clinic/Center
6	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1154017242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIDS ARMS, INC.

Provider Business Mailing Address
First Line	:	3900 JUNIUS ST STE 300
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1602
Country	:	US
Telephone Number	:	214-521-5191
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 LEMMON AVE STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-2201
Country	:	US
Telephone Number	:	469-687-3200
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	JOHN THOMAS CARLO
Credential	:	MD
Telephone Number	:	214-521-5191

Provider Enumeration Date	:	04/12/2023
Last Update Date	:	08/01/2024

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