Provider Demographics
NPI:1568117000
Name:AFFORDABLE IRVING HEALTHCARE LLC
Entity Type:Organization
Organization Name:AFFORDABLE IRVING HEALTHCARE LLC
Other - Org Name:MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UMA
Authorized Official - Middle Name:DEVI
Authorized Official - Last Name:ADHIKARI
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:940-206-9718
Mailing Address - Street 1:3455 N BELT LINE RD STE 206
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-7861
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3455 N BELT LINE RD STE 206
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-7861
Practice Address - Country:US
Practice Address - Phone:940-206-9718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-14
Last Update Date:2022-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGroup - Single Specialty