MEDICARE: ACADENCE HOLDINGS, 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
1	261QA1903X	Ambulatory Surgical Clinic/Center	000287	TX
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1316323835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACADENCE HOLDINGS, LLC

Provider Business Mailing Address
First Line	:	1717 N AKARD ST
Second Line	:	SUITE 2530
City	:	DALLAS
State	:	TX
Zip	:	75201-2301
Country	:	US
Telephone Number	:	323-886-2472
Fax Number	:

Provider Business Practice Location Address
First Line	:	17300 DALLAS PKWY
Second Line	:	SUITE 1080
City	:	DALLAS
State	:	TX
Zip	:	75248-1145
Country	:	US
Telephone Number	:	323-886-2472
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MAHSA PARVIZ
Credential	:	M.D., PH.D.
Telephone Number	:	972-767-9401

Provider Enumeration Date	:	08/06/2015
Last Update Date	:	03/08/2017

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