NPIMap

Organization Active NPI

Amh Series II TX LLC

Doing business as Ageless Men's Health

  • Family Medicine Physician
  • Bedford, TX
National Provider Identifier
1689479883
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AMH SERIES II TX LLC
Doing business as
Ageless Men's Health
Practice address
1312 Norwood Dr Ste 200
Bedford, TX 76022-5236
Phone
(602) 796-2559
NPI assigned
Feb 13, 2025
Last updated
Mar 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda Wilkinson
Title
Business Operations Director
Phone
(602) 796-2559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1312 Norwood Dr Ste 200
Bedford, TX 76022-5236

Mailing address

1312 Norwood Dr Ste 200
Bedford, TX 76022-5236

Other practice location 1

12500 Lebanon Rd Ste 101
Frisco, TX 75035-9474
Phone (602) 796-2559

Other names 1

  • Ageless Men's Health Doing business as

National Provider Directory

National Provider Directory

Locations

1312 Norwood Dr
Ste 200
Bedford, TX 76022
Phone (602) 796-2559

12500 Lebanon Rd
Ste 101
Frisco, TX 75035
Phone (214) 308-9039

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1689479883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 NORWOOD DR STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 NORWOOD DR STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225236",
            "telephone_number": "602-796-2559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12500 Lebanon Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750359474",
            "country_code": "US",
            "telephone_number": "602-796-2559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMH SERIES II TX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "602-796-2559"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ageless Men's Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ageless Men's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.