Dr Liji Jacob John, MD | |
2704 N Galloway Ave Ste 103, Mesquite, TX 75150-6379 | |
(214) 660-2500 | |
Not Available |
Full Name | Dr Liji Jacob John |
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Gender | Female |
Speciality | Family Medicine |
Location | 2704 N Galloway Ave Ste 103, Mesquite, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194303594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | V3025 (Texas) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Dallas Medical Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033551312 PECOS PAC ID: 7517194491 Enrollment ID: O20131223000191 |
Mailing Address | Practice Location Address |
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Dr Liji Jacob John, MD 2704 N Galloway Ave Ste 103, Mesquite, TX 75150-6379 Ph: (214) 660-2500 | Dr Liji Jacob John, MD 2704 N Galloway Ave Ste 103, Mesquite, TX 75150-6379 Ph: (214) 660-2500 |
Dr. Westley Eugene Raborn, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2704 N Galloway Ave, Ste 103, Mesquite, TX 75150 Phone: 214-660-2500 Fax: 214-660-2535 | |
Sandy Trevizo, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3228 Interstate 30 Ste 200, Mesquite, TX 75150 Phone: 972-216-5400 Fax: 972-216-5405 | |
Dr. Laquita Ann Shepherd, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 N Belt Line Rd Ste 105, Mesquite, TX 75149 Phone: 972-686-1234 Fax: 972-686-9000 | |
Dr. Valerie A Peterson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1575 I 30, Mesquite, TX 75150 Phone: 469-800-2800 Fax: 469-800-2801 | |
Richard Allan Berlando, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2540 North Galloway, Suite 203, Mesquite, TX 75150 Phone: 972-682-0700 Fax: 972-682-0779 | |
Dr. Christopher P Kampas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1575 I 30, Mesquite, TX 75150 Phone: 469-800-2800 Fax: 469-800-2801 |