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1508133554
ADVANCED CARE PROVIDER, LLC
DALLAS, TX
NPI
1508133554
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Entity Type
Organization
Authorized Contact
ERIC R NAIFEH
CEO
214-956-6995
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 774559)
Enumeration Date
2011-11-18
Last Update Date
2011-11-18
Business Address
ADVANCED CARE PROVIDER, LLC
3116 MARTIN LUTHER KING JR BLVD
DALLAS, TX 75215-2414
Phone number: 214-956-6995
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Mailing Address
ADVANCED CARE PROVIDER, LLC
3116 MARTIN LUTHER KING JR BLVD
DALLAS, TX 75215-2414
Phone number: 214-956-6995
Copy
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