Organization Active NPI

Advanced Interventions Associates, Inc.

  • Clinic/Center
  • Longview, TX
National Provider Identifier
1861662447
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
32316 Issued in TX
Legal business name
ADVANCED INTERVENTIONS ASSOCIATES, INC.
Practice address
1201 W Loop 281
Suite 501
Longview, TX 75604-2937
Phone
(903) 445-3780
Fax
(903) 759-0891
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Arlis Gale Wood, PH.D.
Title
President
Phone
(903) 445-3780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 32316 TX Primary

Addresses

Primary practice location

1201 W Loop 281
Suite 501
Longview, TX 75604-2937

Mailing address

1220 Lovers LN
Longview, TX 75604-2865
Phone (903) 445-3780

National Provider Directory

National Provider Directory

Locations

1201 W Loop 281
Ste 501
Longview, TX 75604
Phone (903) 445-3780

Practitioners & affiliated clinicians

Practitioners 1

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": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1861662447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 LOVERS LN",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042865",
            "telephone_number": "903-445-3780",
            "fax_number": "903-759-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W LOOP 281",
            "address_2": "SUITE 501",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042937",
            "telephone_number": "903-445-3780",
            "fax_number": "903-759-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTERVENTIONS ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "ARLIS",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-445-3780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "32316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.