MEDICARE: ADVANCED METABOLISM CARE ASSOCIATES

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	261QI0500X	Infusion Therapy Clinic/Center	G3213	TX

General Provider Information

NPI Number	:	1457793440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED METABOLISM CARE ASSOCIATES

Provider Business Mailing Address
First Line	:	3221 COLLINSWORTH ST
Second Line	:	STE. 160
City	:	FORT WORTH
State	:	TX
Zip	:	76107-5739
Country	:	US
Telephone Number	:	817-996-4808
Fax Number	:

Provider Business Practice Location Address
First Line	:	1307 8TH AVE
Second Line	:	STE. 608
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4137
Country	:	US
Telephone Number	:	817-996-4808
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID P CAPPER
Credential	:	M.D.
Telephone Number	:	817-735-8741

Provider Enumeration Date	:	07/19/2013
Last Update Date	:	08/06/2013

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1326039215 — MRS. CHARLECE HUGHES D.O.
Practice Location Address:

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Practice Location Address:

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Practice Location Address:

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1114971124 — DR. ARTHUR G GARCIA MD
Practice Location Address:

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Directions to “ADVANCED METABOLISM CARE ASSOCIATES ” Practice Location

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