A G A Healthcare INC.
Nurse Practitioner, Family in Dallas, TX. Organization (NPI-2).
NPI number1942417472
StatusActive
Last updated in NPPESJan 17, 2014
Details
- NPI
- 1942417472
- Entity type
- Organization (NPI-2)
- Legal business name
- A G A Healthcare INC.
- Organization subpart
- No
- Enumeration date
- May 16, 2007
- Last updated
- Jan 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 793295 | TX | Yes |
| 111NS0005X | Chiropractor, Sports Physician | 4872 | TX |
Practice location
11615 Forest Central Dr Ste 214Dallas, TX 75243-3910
Phone 214-507-2831
Mailing address
11700 Preston Rd Ste 660Pmb 426
Dallas, TX 75230-2739
Phone 214-507-2831
Authorized official
Curtis L Adams
Owner
2145072831
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