Provider Demographics
NPI:1992366488
Name:ANMD HEALTH PLLC
Entity Type:Organization
Organization Name:ANMD HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:AVERY
Authorized Official - Middle Name:L
Authorized Official - Last Name:NOLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-389-0855
Mailing Address - Street 1:11816 INWOOD RD STE 3121
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-8011
Mailing Address - Country:US
Mailing Address - Phone:214-389-0855
Mailing Address - Fax:214-389-0859
Practice Address - Street 1:1910 PACIFIC AVE SUITE 15700
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201
Practice Address - Country:US
Practice Address - Phone:214-389-0855
Practice Address - Fax:214-389-0859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ6548OtherTMB