NPI 1073059663
Ambitious Provider Services, INC.
Practice location
- Address
- 8035 E R L Thornton Fwy 468, Dallas, TX 75228-7018
- Phone
- (469) 735-3395
- Fax
- (469) 941-4158
- Mailing address
- 8035 E. Rlt. Frwy. 468, Dallas, TX 75228-1020
Authorised official
- Name
- Larrymi Danielle Mathis
- Title
- Program Manager
- Phone
- (469) 735-3395
Registered specialties (2)
Case Management Agency
Primary
In Home Supportive Care Agency
Registry record
- NPI
- 1073059663
- Entity type
- Organization
- NPI issued
- 6 Jan 2017
- Record last updated
- 6 Jan 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.