| NPI | 1528394806 |
|---|---|
| Doing Business As | AGING WITH CARE L, PLLC |
| Entity Type | Organization |
| Authorized Contact | MECHIELL DEMETRIUS TUCKER Owner 469-951-9984 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX PA02092) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX PA02092) |
| 208D00000X General Practice (Licence: TX PA02092) | |
| 363A00000X Physician Assistant (Licence: TX PA02092) | |
| 363AM0700X Physician Assistant, Medical (Licence: TX PA02092) | |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2022-01-27 |