| Virk Tmj Pllc | |
|
630 N Kimball Ave Ste 110 Southlake TX 76092-6887 | |
| (817) 251-9985 | |
| Not Available |
| Full Name | Virk Tmj Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 630 N Kimball Ave Ste 110, Southlake, Texas |
| Authorized Official Name and Position | Amrittej Virk (OWNER) |
| Authorized Official Contact | 8172519985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virk Tmj Pllc 630 N Kimball Ave Ste 110 Southlake TX 76092-6887 Ph: (817) 251-9985 | Virk Tmj Pllc 630 N Kimball Ave Ste 110 Southlake TX 76092-6887 Ph: (817) 251-9985 |
| NPI Number | 1255978763 |
|---|---|
| Provider Enumeration Date | 12/03/2019 |
| Last Update Date | 06/08/2020 |
| Medicare PECOS PAC ID | 3274930136 |
|---|---|
| Medicare Enrollment ID | O20210921001323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255978763 | NPI | - | NPPES |
| Provider Name | Amrittej S Virk |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1346732153 PECOS PAC ID: 1759625510 Enrollment ID: I20210921001411 |
| Provider Name | Azusa Kuwashima |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801567441 PECOS PAC ID: 4082009691 Enrollment ID: I20220317002172 |
| Provider Name | Erkan Onurlu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689452278 PECOS PAC ID: 6800242595 Enrollment ID: I20231101002323 |
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