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NPI Code Detail

MEDICARE: ADVANCED MEDICAL ASSOCIATES

MEDICARE: ADVANCED MEDICAL 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
1111N00000XChiropractor

General Provider Information

NPI Number : 1689772790
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED MEDICAL ASSOCIATES
Provider Business Mailing Address
First Line : PO BOX 1895
Second Line :
City : DEER PARK
State : TX
Zip : 77536-1895
Country : US
Telephone Number : 281-842-1338
Fax Number : 281-842-1794
Provider Business Practice Location Address
First Line : 8866 GULF FWY
Second Line : STE 410
City : HOUSTON
State : TX
Zip : 77017-6514
Country : US
Telephone Number : 281-842-1338
Fax Number : 281-842-1794
Authorized Official
Title or Position : CREDENTIALING/BILLING
Name : TIA ASPRA
Credential :
Telephone Number : 830-238-4112
Provider Enumeration Date : 09/20/2006
Last Update Date : 08/22/2020

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Directions to “ADVANCED MEDICAL ASSOCIATES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.