Organization Active NPI

Advantage Medical Clinic

  • Family Medicine Physician
  • Waxahachie, TX
National Provider Identifier
1174861066
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Oct 25, 2016

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2081597Advantage Medical Clinic1102 Solon Place Way, Ste 2, Waxahachie, TX 75165Certificate of waiverJul 27, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.