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NPI Code Detail

MEDICARE: ATCARE, INC.

MEDICARE: ATCARE, 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
12255A2300XAthletic TrainerAT6316TX

General Provider Information

NPI Number : 1396101234
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATCARE, INC.
Provider Business Mailing Address
First Line : 1910 PACIFIC AVE
Second Line : SUITE 17120
City : DALLAS
State : TX
Zip : 75201-4529
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1910 PACIFIC AVE
Second Line : SUITE 17120
City : DALLAS
State : TX
Zip : 75201-4529
Country : US
Telephone Number : 888-323-8667
Fax Number :
Authorized Official
Title or Position : CEO
Name : ASHANTE SIMMS
Credential : MS,ATC, LAT
Telephone Number : 888-323-8667
Provider Enumeration Date : 01/07/2016
Last Update Date : 01/07/2016

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Directions to “ATCARE, INC. ” Practice Location

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