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Organization
ADELITAS MEDICAL NWH
Active
Organization
ADELITAS MEDICAL NWH
Active
Parent organization
SSM SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM SERVICES
Authorized official
MOSES VARGHESE (SENIOR PARTNER)
(682) 478-9117
Entity
Organization
Contact information
Practice address
610 E JEFFERSON BLVD STE 110, DALLAS, TX 75203-2750
(214) 222-9115
Mailing address
610 E JEFFERSON BLVD STE 110, DALLAS, TX 75203-2750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08110
TX
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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