MEDICARE: AMERICAN MEDICAL SOLUTIONS

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	347C00000X	Private Vehicle		TX

General Provider Information

NPI Number	:	1356702641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN MEDICAL SOLUTIONS

Provider Business Mailing Address
First Line	:	8629 LARIAT CIR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-7995
Country	:	US
Telephone Number	:	214-498-7612
Fax Number	:

Provider Business Practice Location Address
First Line	:	8629 LARIAT CIR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-7995
Country	:	US
Telephone Number	:	214-498-7612
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. NAEEM AGHA
Credential	:
Telephone Number	:	214-498-7612

Provider Enumeration Date	:	03/14/2016
Last Update Date	:	03/14/2016

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Directions to “AMERICAN MEDICAL SOLUTIONS ” Practice Location

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