AGING WITH CARE, PLLC


Address: 5616 Gaston Ave, Suite 100, Dallas, TX 75214-4615
Phone: 2148262405

AGING WITH CARE, PLLC (NPI# 1528394806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528394806
Entity Type Organization
Organization Name AGING WITH CARE, PLLC
Practice Address 5616 Gaston Ave
Suite 100
Dallas
TX 75214-4615
Practice Telephone 2148262405
Practice Fax Number 8662432134
Mailing Telephone 2148262405
Mailing Fax Number 8662432134
Enumeration Date 2009-10-21
Last Update Date 2011-02-22
Authorized Official Name MECHIELL DEMETRIUS TUCKER (OWNER)
Authorized Official Telephone 2148262405
Authorized Official Credential PA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QG0300X Family Medicine
Specialization: Geriatric Medicine
PA02092 TX Allopathic & Osteopathic Physicians
N 208D00000X General Practice PA02092 TX Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant PA02092 TX Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA02092 TX Physician Assistants & Advanced Practice Nursing Providers
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
PA02092 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 5616 GASTON AVE
SUITE 100
City DALLAS
State TX
Zip Code 75214-4615

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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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Competitor

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City DALLAS
Zip Code 75214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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