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NPI Code Detail

MEDICARE: ADVANCE MEDICAL ACCPTANCE

MEDICARE: ADVANCE MEDICAL ACCPTANCE
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
3101YP2500XProfessional Counselor
4103G00000XClinical Neuropsychologist
5103TP2701XGroup Psychotherapy Psychologist
6146M00000XIntermediate Emergency Medical Technician
7364SC1501XCommunity Health/Public Health Clinical Nurse Specialist
8101Y00000XCounselor

General Provider Information

NPI Number : 1578895892
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCE MEDICAL ACCPTANCE
Provider Business Mailing Address
First Line : 6550 MAPLERIDGE ST STE 214
Second Line :
City : HOUSTON
State : TX
Zip : 77081-4647
Country : US
Telephone Number : 713-432-9400
Fax Number : 713-432-9401
Provider Business Practice Location Address
First Line : 6550 MAPLERIDGE ST
Second Line : SUITE 214
City : HOUSTON
State : TX
Zip : 77081-4647
Country : US
Telephone Number : 713-432-9400
Fax Number : 713-432-9401
Authorized Official
Title or Position : ADMISTRATOR
Name : MR. EMMANUEL M LORD
Credential :
Telephone Number : 713-432-9400
Provider Enumeration Date : 02/11/2010
Last Update Date : 02/11/2010

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Directions to “ADVANCE MEDICAL ACCPTANCE ” Practice Location

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