MEDICARE: HEALTHCARE ASSOCIATES OF IRVING PLLC

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	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467413625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE ASSOCIATES OF IRVING PLLC

Provider Business Mailing Address
First Line	:	19500 IH 10 W
Second Line	:	MS 1-5030 ATTN: LICENSE & REGULATORY
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257
Country	:	US
Telephone Number	:	210-617-4706
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 N MACARTHUR BLVD STE 330
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-3611
Country	:	US
Telephone Number	:	972-607-2340
Fax Number	:

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER
Name	:	CHARLES POWELL
Credential	:	MD
Telephone Number	:	469-276-3600

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	03/13/2024

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