# A MEDICAL ADVANTAGE HEALTHCARE SYSTEMS ASSOCIATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477505592
- **Authorized official:** LINDA L RILEY (ADMINISTRATOR)
- **Authorized official phone:** (214) 943-9431

## Contact information

- **Practice address:** 214 W COLORADO BLVD, DALLAS, TX 75208-2326
- **Practice address phone:** (214) 943-9431
- **Practice address fax:** (214) 943-9407
- **Mailing address:** PO BOX 3770, DALLAS, TX 75208-1070
- **Mailing address phone:** (214) 943-9431
- **Mailing address fax:** (214) 943-9407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 09/28/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0055GM | BCBS | TX |
| 05 | — | 149612703 | — | TX |