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NPI Code Detail

MEDICARE: AIDS ARMS, INC.

MEDICARE: AIDS ARMS, INC.
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
1207Q00000XFamily Medicine Physician
2251B00000XCase Management Agency
3261QC1500XCommunity Health Clinic/Center
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
5261QM1300XMulti-Specialty Clinic/Center
6261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1285320382
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 : 4004 WORTH ST
Second Line :
City : DALLAS
State : TX
Zip : 75246-1607
Country : US
Telephone Number : 214-623-6830
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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