Organization
ADVANCED LYMPHEDEMA SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA RIOS (CREDENTIALING/BILLING)
(713) 212-9098
Entity
Organization
Contact information
Practice address
1521 S STAPLES ST STE 401, CORPUS CHRISTI, TX 78404-3152
(361) 333-5472
Mailing address
2657 GREENVILLE DR, LEAGUE CITY, TX 77573-6401
(713) 212-9098
(866) 502-2826
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
12/05/2022
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