Provider Demographics
NPI:1376172304
Name:AM/PM MEDICAL CENTERS
Entity Type:Organization
Organization Name:AM/PM MEDICAL CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAURUS
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-676-8982
Mailing Address - Street 1:800 W AIRPORT FWY # 625
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-6312
Mailing Address - Country:US
Mailing Address - Phone:817-676-8982
Mailing Address - Fax:214-260-6062
Practice Address - Street 1:800 W AIRPORT FWY # 625
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6312
Practice Address - Country:US
Practice Address - Phone:817-676-8982
Practice Address - Fax:214-260-6062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1407159544OtherHEALTH INSURANCE
TX1861475956OtherHEALTH INSURANCE
TX1407982135OtherHEALTH INSURANCE