Provider Demographics
NPI:1184223372
Name:ADVANCED MEDICAL SERVICES ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ADVANCED MEDICAL SERVICES ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:VITUS
Authorized Official - Middle Name:UCHENNA
Authorized Official - Last Name:NWAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICIAN ASSISTANT
Authorized Official - Phone:972-685-3337
Mailing Address - Street 1:3690 W WHEATLAND RD STE 150
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3462
Mailing Address - Country:US
Mailing Address - Phone:972-685-3337
Mailing Address - Fax:469-466-8215
Practice Address - Street 1:ADVANCED URGENT CARE CENTER
Practice Address - Street 2:3690 W WHEATLAND RD, SUITE 150
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237
Practice Address - Country:US
Practice Address - Phone:972-685-3337
Practice Address - Fax:469-466-8215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care