| Danicare | |
|
511 E John Carpenter Fwy Ste 500 Irving TX 75062-8138 | |
| (956) 266-8476 | |
| Not Available |
| Full Name | Danicare |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 511 E John Carpenter Fwy Ste 500, Irving, Texas |
| Authorized Official Name and Position | Dolani Nimata Ajanaku (OWNER) |
| Authorized Official Contact | 9562668476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danicare 2702 Anejo Dr Laredo TX 78045-6480 Ph: () - | Danicare 511 E John Carpenter Fwy Ste 500 Irving TX 75062-8138 Ph: (956) 266-8476 |
| NPI Number | 1215798558 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/17/2025 |
| Certification Date | 01/11/2025 |
| Medicare PECOS PAC ID | 7416396726 |
|---|---|
| Medicare Enrollment ID | O20240419001019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215798558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Dolani Nimata Ajanaku |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811457898 PECOS PAC ID: 3971959404 Enrollment ID: I20231214001816 |
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