Organization · NPI-2
A&A Medical Holdings
Clinic/Center, Primary Care · Aubrey, TX
NPI number1386220382
StatusActive
Last updated in NPPESDec 8, 2022
Details
- NPI
- 1386220382
- Entity type
- Organization (NPI-2)
- Legal business name
- A&A Medical Holdings
- Organization subpart
- Yes
- Enumeration date
- Mar 20, 2021
- Certification date
- Dec 8, 2022
- Last updated
- Dec 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 2083B0002X | Preventive Medicine, Obesity Medicine | – | – |
Other names
- Innovafusion (Doing Business As)
Practice location
26919 Us Highway 380 E Ste 200Aubrey, TX 76227-0239
Phone 469-907-9985 · Fax 469-519-5595
Mailing address
26875 Us Highway 380 E Ste 200Aubrey, TX 76227-8063
Phone 469-338-7090 · Fax 469-519-1542
Authorized official
Giselle B. Wirlen
Nurse Practitioner
4697561711
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