| Delfina Medical Group Pa | |
|
1400 N Coit Rd Ste 302 Mckinney TX 75071-6656 | |
| (650) 241-8083 | |
| Not Available |
| Full Name | Delfina Medical Group Pa |
|---|---|
| Speciality | Specialist |
| Location | 1400 N Coit Rd Ste 302, Mckinney, Texas |
| Authorized Official Name and Position | Mary Parman (PRESIDENT) |
| Authorized Official Contact | 6504174482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delfina Medical Group Pa 440 N Barranca Ave # 4488 Covina CA 91723-1722 Ph: (281) 305-3142 | Delfina Medical Group Pa 1400 N Coit Rd Ste 302 Mckinney TX 75071-6656 Ph: (650) 241-8083 |
| NPI Number | 1295447472 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/01/2024 |
| Medicare PECOS PAC ID | 0749646032 |
|---|---|
| Medicare Enrollment ID | O20230511000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295447472 | NPI | - | NPPES |
| Provider Name | Mary Parman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194782649 PECOS PAC ID: 2567491772 Enrollment ID: I20230511000537 |
| Provider Name | Jennifer Shully |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346654092 PECOS PAC ID: 0547669913 Enrollment ID: I20230511002126 |
| Provider Name | Jessica B Barra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114406519 PECOS PAC ID: 0345608105 Enrollment ID: I20230627000510 |
| Provider Name | Amanda Henderson Hubbard |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285036962 PECOS PAC ID: 5496102071 Enrollment ID: I20231104000069 |
| Provider Name | Yarely Suide Guadalupe Euan Lopez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114617800 PECOS PAC ID: 8224486121 Enrollment ID: I20231204001610 |
| Provider Name | Tamara Charmaine Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306380126 PECOS PAC ID: 5395198881 Enrollment ID: I20240131004235 |
| Provider Name | Shaileen Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982199881 PECOS PAC ID: 4486013844 Enrollment ID: I20240419000321 |
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