Anci-Pro Healthcare Solutions, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ANCI-PRO HEALTHCARE SOLUTIONS, LLC

Practice address

4545 Fuller Dr
Suite 100
Irving, TX 75038-6530

Phone

(469) 995-8416

NPI assigned

Jun 27, 2016

Last updated

Jun 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Luke Magunson

Title

Ceo

Phone

(469) 995-8416

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1710338116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 FULLER DR",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 FULLER DR",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386530",
            "telephone_number": "469-995-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCI-PRO HEALTHCARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "MAGUNSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-995-8416"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Paige Anderson, MT-BC
• Sandra Gayle Anderson, MASSAGE THERAPIST

• Clinic/Center in Irving, TX
• Providers in Irving, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.