| Organization Name: | AHR MEDICAL GROUP PA |
| NPI Number: | 1932596004 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HUNTER JOCHEM (MANAGER) |
| Mailing Address: | 4101 Centurion Way Addison |
| State: | TX US |
| Postal Code: | 750014347 |
| Phone Number: | 1214714166 |
| Fax Number: | 9723829992 |
| NPI Enumeration Date: | 04/16/2015 |
| NPI Last Update Date: | 04/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 05910 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |