Active NPIOrganization

Advanced E.c.p., P.a.

Clinic/Center, Medical Specialty in Fort Worth, Texas

NPI Number1447206255
Practice location
1650 W Rosedale St, Suite 206, Fort Worth, TX 76104-7400
Fax
817-877-4103
Last updated
August 31, 2007

Advanced E.c.p., P.a. is a healthcare organization based in Fort Worth, TX. Advanced E.c.p., P.a. practices in Fort Worth, TX. The NPI Number for Advanced E.c.p., P.a. is 1447206255 and holds a License No. L04659 (TX). The current practice location address for Advanced E.c.p., P.a. is 1650 W Rosedale St, Suite 206, Fort Worth, TX 76104-7400 and can be reached out via phone at 817-877-0052 and via fax at 817-877-4103.

Provider Profile Details

NPI Number
1447206255
Provider Name
Advanced E.c.p., P.a.
Provider Entity Type
Organization
Address
1650 W Rosedale St, Suite 206, Fort Worth, TX 76104-7400
Phone Number
817-877-0052
Fax Number
817-877-4103
Primary Taxonomy
Clinic/Center, Medical Specialty · 261QM2500X
Organization Subpart
No
Authorized Official
Mr. Jeffrey M Flanegin · President · 610-831-1112
Provider Enumeration Date
May 25, 2006
Last Update Date
August 31, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1650 W Rosedale St
Suite 206
Fort Worth, TX 76104-7400
State
Texas
Zip
76104-7400
Phone Number
817-877-0052
Fax Number
817-877-4103
Fort Worth, TX 76104Get directions →

Provider Business Mailing Address Details

Address
7 Waterside Xing
3RD Floor Attn: Karen Frisk , Contracting
Windsor, CT 06095-1540
City
Windsor
State
CT
Zip
06095-1540
Phone Number
800-367-1095
Fax Number
860-298-6127

License Information

License Number
L04659
License State
TX
Taxonomy
Clinic/Center, Medical Specialty · 261QM2500X · 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 Advanced E.c.p., P.a.?

The NPI number of Advanced E.c.p., P.a. is 1447206255. It was assigned on May 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Advanced E.c.p., P.a.?

Advanced E.c.p., P.a. is registered under the primary taxonomy Clinic/Center, Medical Specialty (code 261QM2500X), licensed in TX under license number L04659.

Where does Advanced E.c.p., P.a. practice?

The practice location is 1650 W Rosedale St, Suite 206, Fort Worth, TX 76104-7400. The office can be reached at 817-877-0052 (phone) or 817-877-4103 (fax).

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 1447206255 directly on the NPPES registry website.

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