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Organization

ANLA HEALTHCARE CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JIM LEIN (PRESIDENT)
(972) 690-4698
Entity
Organization

Contact information

Practice address
3704 ARAPAHO RD, ADDISON, TX 75001-4311
(972) 690-4698
(972) 620-0601
Mailing address
3704 ARAPAHO RD, ADDISON, TX 75001-4311
(972) 690-4698
(972) 620-0601

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43869
AMERIGROUP
TX
01
530322
BCBS
Enumeration date
09/19/2005
Last updated
08/22/2020
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