Active NPI
Advanced Medical Associates, LLC
- Primary Care Clinic/Center
- Richardson, TX
National Provider Identifier
1407151541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- M5617
- Legal business name
- ADVANCED MEDICAL ASSOCIATES, LLC
- Practice address
- 1381 Lake Park Way
Richardson, TX 75080 - Phone
- (214) 356-8716
- NPI assigned
- Jan 21, 2011
- Last updated
- Jan 21, 2011
- 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
- Mr. Furqan Khan
- Title
- Manager
- Phone
- (469) 834-0722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | M5617 | TX | Primary |
Addresses
Primary practice location
1381 Lake Park Way
Richardson, TX 75080
Mailing address
811 Farmers Market Way
Dallas, TX 75201-8473
National Provider Directory
National Provider DirectoryLocations
1381 Lake Park Way
Richardson, TX 75080
Phone (214) 356-8716
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Mesquite, TX
- NPI 1871629485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295568000000",
"number": "1407151541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 FARMERS MARKET WAY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752018473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1381 LAKE PARK WAY",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75080",
"telephone_number": "214-356-8716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED MEDICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-21",
"last_updated": "2011-01-21",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "FURQAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "469-834-0722",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TX",
"license": "M5617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
- Zina Adi, LPC-ASSOCIATE
- Adira Hospice LLC
- Frances Carolyn Adkins, LPC, LMFT
- Advance Hospice Care of America, Inc
- Advanced Medequip and Supplies LTD
- Advanced OB-GYN Associates P.a.
- Advanced Texas Neurology LLC
- Advances in Urgent Care and Diagnostics
- Advent Home Care Incorporated
- Advocate Home Healthcare Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.