Organization · Type 2 NPI

Extended Medical Management Services, Inc.

Geriatric Medicine (Internal Medicine) Physician · Dallas, TX

NPI number 1861577579 Active

Practice location

13140 Coit Rd, Suite 212
Dallas, TX 75240-5755

Call (469) 330-2444 Map

Fax (469) 330-2396

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Internal Medicine) Physician Primary 207RG0300XM2309 (TX)
Gerontology Nurse Practitioner 363LG0600X506447 (TX)

Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

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About NPI 1861577579

Extended Medical Management Services, Inc.'s National Provider Identifier is 1861577579, issued on Oct 25, 2006. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Dallas, TX. The record was last updated on Sep 11, 2025.