Active NPI
Advantage Medical Clinic
- Family Medicine Physician
- Waxahachie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ADVANTAGE MEDICAL CLINIC
- Practice address
- 1102 Solon Place Way
Suite 1
Waxahachie, TX 75165-5038 - Phone
- (972) 351-9993
- Fax
- (972) 351-9984
- NPI assigned
- Jan 28, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Riley
- Title
- Administrator
- Phone
- (214) 943-9431
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1102 Solon Place Way
Suite 1
Waxahachie, TX 75165-5038
Mailing address
PO Box 226656
Dallas, TX 75222-6656
Phone (214) 913-9431
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2081597 | Advantage Medical Clinic | Certificate of waiver | Jul 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
1102 Solon Place Way
Ste 100
Waxahachie, TX 75165
1102 Solon Place Way
Ste A
Waxahachie, TX 75165
Phone (972) 351-9993
1102 Solon Place Way
Waxahachie, TX 75165
1102 Solon Place Way
Ste 1
Waxahachie, TX 75165
Phone (972) 351-9993
1102 Solon Place Way
Ste B
Waxahachie, TX 75165
Phone (972) 875-7488
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Fort Worth, TX
- NPI 1386695906
-
- Family Nurse Practitioner
- Waxahachie, TX
- NPI 1740848431
-
- Physician Assistant
- Las Vegas, NV
- NPI 1447450861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477353600000",
"number": "1174861066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 226656",
"city": "DALLAS",
"state": "TX",
"postal_code": "752226656",
"telephone_number": "214-913-9431",
"fax_number": "214-943-9407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 SOLON PLACE WAY",
"address_2": "SUITE 1",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751655038",
"telephone_number": "972-351-9993",
"fax_number": "972-351-9984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANTAGE MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-28",
"last_updated": "2016-10-25",
"status": "A",
"authorized_official_last_name": "RILEY",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-943-9431"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.