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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