| Ambulatory 22 | |
|
5760 Legacy Dr Suite B-325 Plano TX 75024-7102 | |
| (214) 787-3881 | |
| Not Available |
| Full Name | Ambulatory 22 |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
| Location | 5760 Legacy Dr, Plano, Texas |
| Authorized Official Name and Position | Anthony Jones (PRINCIPAL) |
| Authorized Official Contact | 2146751881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambulatory 22 5760 Legacy Dr Ste B-325 Plano TX 75024-7102 Ph: (214) 675-1881 | Ambulatory 22 5760 Legacy Dr Suite B-325 Plano TX 75024-7102 Ph: (214) 787-3881 |
| NPI Number | 1306395884 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 09/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306395884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (Texas) | Primary |
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