Provider Demographics
NPI:1649453457
Name:JAMES R. ALMAND JR MD PROFESSIONAL MEDICAL CENTER ASSOCIATION
Entity type:Organization
Organization Name:JAMES R. ALMAND JR MD PROFESSIONAL MEDICAL CENTER ASSOCIATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALMAND
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:972-262-5272
Mailing Address - Street 1:1801 S. CARRIER PARKWAY
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-3702
Mailing Address - Country:US
Mailing Address - Phone:972-262-5272
Mailing Address - Fax:972-262-1921
Practice Address - Street 1:1801 S. CARRIER PARKWAY
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-3702
Practice Address - Country:US
Practice Address - Phone:972-262-5272
Practice Address - Fax:972-262-1921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC5989261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029374801Medicaid
TX029374801Medicaid