Provider Demographics
NPI:1225458540
Name:AIDS ARMS PHYSICIANS, INC.
Entity Type:Organization
Organization Name:AIDS ARMS PHYSICIANS, INC.
Other - Org Name:PEABODY HEALTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CHAIRMAN OF THE BOARD
Authorized Official - Prefix:DR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:VOSKUHL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-807-7370
Mailing Address - Street 1:351 WEST JEFFERSON BLVD.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-7860
Mailing Address - Country:US
Mailing Address - Phone:214-521-5191
Mailing Address - Fax:214-623-6806
Practice Address - Street 1:1906 PEABODY AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75215-2821
Practice Address - Country:US
Practice Address - Phone:214-421-7848
Practice Address - Fax:214-421-1119
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AIDS ARMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-04-25
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207R00000X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty