Organization
ADVANCED MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FURQAN KHAN (MANAGER)
(469) 834-0722
Entity
Organization
Contact information
Practice address
1381 LAKE PARK WAY, RICHARDSON, TX 75080
(214) 356-8716
Mailing address
811 FARMERS MARKET WAY, DALLAS, TX 75201-8473
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M5617
TX
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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