New Life Ifs | |
18383 Preston Rd # 404 Dallas TX 75252-5476 | |
(830) 400-7037 | |
(830) 400-7037 |
Full Name | New Life Ifs |
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Speciality | Social Worker |
Location | 18383 Preston Rd # 404, Dallas, Texas |
Authorized Official Name and Position | Kayla Mainja (FOUNDER) |
Authorized Official Contact | 8304007037 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Life Ifs 18383 Preston Rd # 404 Dallas TX 75252-5476 Ph: (830) 400-7037 | New Life Ifs 18383 Preston Rd # 404 Dallas TX 75252-5476 Ph: (830) 400-7037 |
NPI Number | 1497111306 |
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Provider Enumeration Date | 01/07/2016 |
Last Update Date | 06/12/2024 |
Certification Date | 06/12/2024 |
Medicare PECOS PAC ID | 6608239355 |
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Medicare Enrollment ID | O20230828002975 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497111306 | NPI | - | NPPES |
Provider Name | Kayla Monique Mainja |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588351340 PECOS PAC ID: 5092171371 Enrollment ID: I20230510003617 |
Provider Name | Joel Lynn Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790397487 PECOS PAC ID: 3779921135 Enrollment ID: I20240403004061 |
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