1578936720 NPI number — ADVANCED IOM

Table of content: MRS. EVAN LEIGH CLARK APRN (NPI 1083071443)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578936720 NPI number — ADVANCED IOM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVANCED IOM
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578936720
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/18/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 733188
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75373-3188
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-246-5385
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 N INDUSTRIAL BLVD STE 106
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EULESS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76039-7456
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-246-5385
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/10/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NEFF
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
C
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
817-485-5100

Provider Taxonomy Codes

  • Taxonomy code: 246ZE0600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)