Provider Demographics
NPI:1528235884
Name:TRI-ACE MEDICAL SERVICES, INC.
Entity type:Organization
Organization Name:TRI-ACE MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:ARCE
Authorized Official - Last Name:ALBANO
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:214-382-1909
Mailing Address - Street 1:5445 LA SIERRA DR
Mailing Address - Street 2:SUITE 410
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4139
Mailing Address - Country:US
Mailing Address - Phone:214-382-1909
Mailing Address - Fax:214-382-1903
Practice Address - Street 1:5445 LA SIERRA DR
Practice Address - Street 2:SUITE 410
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4139
Practice Address - Country:US
Practice Address - Phone:214-382-1909
Practice Address - Fax:214-382-1903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX615789163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB1044369Medicare UPIN