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NPI Code Detail

MEDICARE: AIM OF TEXAS LLC

MEDICARE: AIM OF TEXAS 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
1251S00000XCommunity/Behavioral Health Agency
2251B00000XCase Management Agency

General Provider Information

NPI Number : 1518639244
Entity Type Code : Organization
Provider Name (Legal Business Name) : AIM OF TEXAS LLC
Provider Business Mailing Address
First Line : 3626 N HALL ST STE 610
Second Line :
City : DALLAS
State : TX
Zip : 75219-5131
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3626 N HALL ST STE 610
Second Line :
City : DALLAS
State : TX
Zip : 75219-5131
Country : US
Telephone Number : 757-790-0116
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : RODNEY HAWKINS
Credential :
Telephone Number : 757-790-0116
Provider Enumeration Date : 09/30/2021
Last Update Date : 09/30/2021

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Directions to “AIM OF TEXAS LLC ” Practice Location

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