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NPI Code Detail

MEDICARE: AMERICAN VISITING DOCTORS LLC

MEDICARE: AMERICAN VISITING DOCTORS 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
1208D00000XGeneral Practice PhysicianH5039TX
2261QP2300XPrimary Care Clinic/Center
3207R00000XInternal Medicine PhysicianH5039TX

General Provider Information

NPI Number : 1710268305
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN VISITING DOCTORS LLC
Provider Business Mailing Address
First Line : 11200 BROADWAY ST STE 2743
Second Line :
City : PEARLAND
State : TX
Zip : 77584-9787
Country : US
Telephone Number : 800-409-1920
Fax Number : 800-878-3830
Provider Business Practice Location Address
First Line : 5050 QUORUM DR STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75254-1410
Country : US
Telephone Number : 832-398-6786
Fax Number : 800-878-3830
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MARILOU ORO
Credential : DNP
Telephone Number : 800-409-1920
Provider Enumeration Date : 09/09/2011
Last Update Date : 01/05/2022

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Directions to “AMERICAN VISITING DOCTORS LLC ” Practice Location

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