Provider Demographics
NPI:1891520664
Name:ADVANCED PRACTICE MEDICAL CARE ASSOCIATES
Entity type:Organization
Organization Name:ADVANCED PRACTICE MEDICAL CARE ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SHERLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, AGACNP-BC
Authorized Official - Phone:210-861-5739
Mailing Address - Street 1:2101 KINGSBURY RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5325
Mailing Address - Country:US
Mailing Address - Phone:210-861-5739
Mailing Address - Fax:
Practice Address - Street 1:8200 MATLOCK RD STE 100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-4805
Practice Address - Country:US
Practice Address - Phone:817-473-7197
Practice Address - Fax:817-473-7198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No282N00000XHospitalsGeneral Acute Care Hospital