Organization · Type 2 NPI

Advanced E.c.p., P.a.

Medical Specialty Clinic/Center · Fort Worth, TX

NPI number 1447206255 Active

Practice location

1650 W Rosedale St, Suite 206
Fort Worth, TX 76104-7400

Call (817) 877-0052 Map

Fax (817) 877-4103

Mailing address

7 Waterside Xing, 3rd Floor Attn: Karen Frisk , Contracting
Windsor, CT 06095-1540

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XL04659 (TX)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

14 other providers at this address

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About NPI 1447206255

Advanced E.c.p., P.a.'s National Provider Identifier is 1447206255, issued on May 25, 2006. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 31, 2007.