1255751574 NPI number — AIDS ARMS PHYSICIANS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255751574 NPI number — AIDS ARMS PHYSICIANS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AIDS ARMS PHYSICIANS, INC.
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:
6
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:
1255751574
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/12/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
351 WEST JEFFERSON BLVD.
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75208-7860
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-521-5191
Provider Business Mailing Address Fax Number:
214-623-6806

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
219 SUNSET AVE
Provider Second Line Business Practice Location Address:
SUITE 116-A
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75208-4531
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-807-7370
Provider Business Practice Location Address Fax Number:
972-807-7381
Provider Enumeration Date:
04/25/2014

Additional Information

Authorized Official

Authorized Official Last Name:
VOSKUHL
Authorized Official First Name:
GENE
Authorized Official Middle Name:
W
Authorized Official Title or Position:
CHAIRMAN OF THE BOARD
Authorized Official Telephone Number:
972-807-7370

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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