# ADELITAS MEDICAL NWH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SSM SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093054504
- **Legal business name:** SSM SERVICES
- **Authorized official:** MOSES VARGHESE (SENIOR PARTNER)
- **Authorized official phone:** (682) 478-9117

## Contact information

- **Practice address:** 610 E JEFFERSON BLVD STE 110, DALLAS, TX 75203-2750
- **Practice address phone:** (214) 222-9115
- **Mailing address:** 610 E JEFFERSON BLVD STE 110, DALLAS, TX 75203-2750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA08110 | TX | Yes |

## Other

- **Enumeration date:** 02/04/2013
- **Last updated:** 02/04/2013