Provider Demographics
NPI:1710905369
Name:ADVANCED MEDICAL CONCEPTS
Entity Type:Organization
Organization Name:ADVANCED MEDICAL CONCEPTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:G
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-240-7425
Mailing Address - Street 1:946 W NOLANA RD STE D
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-7664
Mailing Address - Country:US
Mailing Address - Phone:956-451-3000
Mailing Address - Fax:
Practice Address - Street 1:946 W NOLANA RD STE D
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-7664
Practice Address - Country:US
Practice Address - Phone:956-451-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies