Provider Demographics
NPI:1598964751
Name:ADVANCED HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:ADVANCED HEALTH SERVICES, LLC
Other - Org Name:PAM HUTCHESON SOLE MBR
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HUTCHESON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:214-738-3908
Mailing Address - Street 1:5440 HARVEST HILL RD STE 182B
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1607
Mailing Address - Country:US
Mailing Address - Phone:214-738-3908
Mailing Address - Fax:214-614-6148
Practice Address - Street 1:5440 HARVEST HILL RD STE 182B
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1607
Practice Address - Country:US
Practice Address - Phone:214-738-3908
Practice Address - Fax:214-614-6148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty