| Ample Health Services | |
|
2528 N Fitzhugh Ave Dallas TX 75204-3387 | |
| (972) 253-0000 | |
| (214) 823-2550 |
| Full Name | Ample Health Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2528 N Fitzhugh Ave, Dallas, Texas |
| Authorized Official Name and Position | Eddie Chiedozie Osuagwu (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9722530000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ample Health Services 2528 North Fitzhugh Avenue Dallas TX 75204-3387 Ph: (972) 253-0000 | Ample Health Services 2528 N Fitzhugh Ave Dallas TX 75204-3387 Ph: (972) 253-0000 |
| NPI Number | 1285058768 |
|---|---|
| Provider Enumeration Date | 02/05/2014 |
| Last Update Date | 02/05/2014 |
| Medicare PECOS PAC ID | 1557592946 |
|---|---|
| Medicare Enrollment ID | O20201104001977 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285058768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 70461 (Texas) | Primary |
| Provider Name | Ukamaka Rose Osuagwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790335875 PECOS PAC ID: 8628209012 Enrollment ID: I20201104002134 |
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