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Organization
AMBULATORY 22
Active
Organization
AMBULATORY 22
Active
Parent organization
AMBULATORY 22
Other names
Ambulatory 22
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMBULATORY 22
Authorized official
MR. ANTHONY JONES (PRINCIPAL)
(214) 675-1881
Entity
Organization
Contact information
Practice address
5760 LEGACY DR, SUITE B-325, PLANO, TX 75024-7102
(214) 787-3881
Mailing address
5760 LEGACY DR STE B-325, PLANO, TX 75024-7102
(214) 675-1881
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
TX
332BC3200X
Customized Equipment (DME)
Primary
—
TX
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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