Provider Demographics
NPI:1457793440
Name:ADVANCED METABOLISM CARE ASSOCIATES
Entity Type:Organization
Organization Name:ADVANCED METABOLISM CARE ASSOCIATES
Other - Org Name:TRINA HEALTH OF NORTH TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:P
Authorized Official - Last Name:CAPPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-735-8741
Mailing Address - Street 1:3221 COLLINSWORTH ST
Mailing Address - Street 2:STE. 160
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-5739
Mailing Address - Country:US
Mailing Address - Phone:817-996-4808
Mailing Address - Fax:
Practice Address - Street 1:1307 8TH AVE
Practice Address - Street 2:STE. 608
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4137
Practice Address - Country:US
Practice Address - Phone:817-996-4808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-19
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3213261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy