Danicare | |
3210 Jaime Zapata Memorial Hwy Ste A6 Laredo TX 78043-5010 | |
(956) 266-8476 | |
Not Available |
Full Name | Danicare |
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Speciality | Psychiatry & Neurology |
Location | 3210 Jaime Zapata Memorial Hwy Ste A6, Laredo, 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 |
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Danicare 2702 Anejo Dr Laredo TX 78045-6480 Ph: () - | Danicare 3210 Jaime Zapata Memorial Hwy Ste A6 Laredo TX 78043-5010 Ph: (956) 266-8476 |
NPI Number | 1215798558 |
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Provider Enumeration Date | 01/23/2024 |
Last Update Date | 01/25/2024 |
Certification Date | 01/25/2024 |
Medicare PECOS PAC ID | 7416396726 |
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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 |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811457898 PECOS PAC ID: 3971959404 Enrollment ID: I20231214001816 |
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