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NPI Code Detail

MEDICARE: ADVANCED HEALTH SERVICES, LLC

MEDICARE: ADVANCED HEALTH SERVICES, 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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1598964751
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED HEALTH SERVICES, LLC
Provider Business Mailing Address
First Line : 5440 HARVEST HILL RD STE 182B
Second Line :
City : DALLAS
State : TX
Zip : 75230-1607
Country : US
Telephone Number : 214-738-3908
Fax Number : 214-614-6148
Provider Business Practice Location Address
First Line : 5440 HARVEST HILL RD STE 182B
Second Line :
City : DALLAS
State : TX
Zip : 75230-1607
Country : US
Telephone Number : 214-738-3908
Fax Number : 214-614-6148
Authorized Official
Title or Position : PRESIDENT
Name : PAMELA D HUTCHESON
Credential : FNP-C
Telephone Number : 214-738-3908
Provider Enumeration Date : 07/17/2007
Last Update Date : 01/25/2019

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Directions to “ADVANCED HEALTH SERVICES, LLC ” Practice Location

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