Organization
BBC FIRST ASSISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER JAIMES (BILLING/CREDENTIALING MANAGER)
(972) 270-4800
Entity
Organization
Contact information
Practice address
12222 N CENTRAL EXPY, SUITE 300, DALLAS, TX 75243-3755
(972) 270-4800
(469) 364-3756
Mailing address
12222 N CENTRAL EXPY, SUITE 300, DALLAS, TX 75243-3755
(972) 270-4800
(469) 364-3756
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SA00036
TX
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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