Active NPIOrganization

Adelitas Medical Nwh

Physician Assistant in Dallas, Texas

NPI Number1093054504
Practice location
610 E Jefferson Blvd Ste 110, Dallas, TX 75203-2750
Fax
—
Last updated
February 4, 2013

Adelitas Medical Nwh is a healthcare organization based in Dallas, TX. Adelitas Medical Nwh practices in Dallas, TX. The NPI Number for Adelitas Medical Nwh is 1093054504 and holds a License No. PA08110 (TX). The current practice location address for Adelitas Medical Nwh is 610 E Jefferson Blvd Ste 110, Dallas, TX 75203-2750 and can be reached out via phone at 214-222-9115.

Provider Profile Details

NPI Number
1093054504
Provider Name
Adelitas Medical Nwh
Provider Entity Type
Organization
Address
610 E Jefferson Blvd Ste 110, Dallas, TX 75203-2750
Phone Number
214-222-9115
Primary Taxonomy
Physician Assistant · 363A00000X
Organization Subpart
Yes
Parent Organization
Ssm Services
Authorized Official
Moses Varghese · Senior Partner · 682-478-9117
Provider Enumeration Date
February 4, 2013
Last Update Date
February 4, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
610 E Jefferson Blvd Ste 110
Dallas, TX 75203-2750
City
Dallas
State
Texas
Zip
75203-2750
Phone Number
214-222-9115
Dallas, TX 75203Get directions →

Provider Business Mailing Address Details

Address
610 E Jefferson Blvd Ste 110
Dallas, TX 75203-2750
City
Dallas
State
TX
Zip
75203-2750

License Information

License Number
PA08110
License State
TX
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Adelitas Medical Nwh?

The NPI number of Adelitas Medical Nwh is 1093054504. It was assigned on February 4, 2013 and is currently active in the NPPES registry.

What is the specialty of Adelitas Medical Nwh?

Adelitas Medical Nwh is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in TX under license number PA08110.

Where does Adelitas Medical Nwh practice?

The practice location is 610 E Jefferson Blvd Ste 110, Dallas, TX 75203-2750. The office can be reached at 214-222-9115 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093054504 directly on the NPPES registry website.

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