Provider Demographics
NPI:1457815052
Name:ACHIEVE HEALTH PHYSICIAN SERVICES, PLLC
Entity Type:Organization
Organization Name:ACHIEVE HEALTH PHYSICIAN SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:NOLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:817-705-4900
Mailing Address - Street 1:350 WESTPARK WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-3715
Mailing Address - Country:US
Mailing Address - Phone:817-508-8030
Mailing Address - Fax:817-398-4029
Practice Address - Street 1:350 WESTPARK WAY STE 103
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-3715
Practice Address - Country:US
Practice Address - Phone:817-508-8030
Practice Address - Fax:817-398-4029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty