Organization · Type 2 NPI
Advanced TT Vision, LLC
Point of Service · Mansfield, TX
NPI number
1245474816
Active
Practice location
1308 Tanglewood Dr
Mansfield, TX 76063-7696
Fax (817) 210-0039
Mailing address
5300 Overton Ridge Blvd
Fort Worth, TX 76132-3301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 7316T (TX) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1245474816
Advanced TT Vision, LLC's National Provider Identifier is 1245474816, issued on Apr 27, 2009. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Mansfield, TX. The record was last updated on Feb 13, 2013.