Adelitas Medical Nwh

NPI #1093054504 in Dallas, Texas

Provider Information

NPI Number: 1093054504
Entity Type: Organization
Organization Name: Adelitas Medical Nwh
Subpart: Yes (part of a larger organization)
Parent Organization: SSM SERVICES
Primary Specialty: Physician Assistant
Enumeration Date: Feb 4, 2013
Last Updated: Feb 4, 2013

Practice Location

Address: 610 E JEFFERSON BLVD STE 110
City: Dallas
State: Texas
ZIP Code: 75203-2750
Phone: (214) 222-9115

Authorized Official

Name: MOSES VARGHESE
Title: SENIOR PARTNER
Phone: (682) 478-9117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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