S T E P Med Inc | |
2929 Martin Luther King Blvd Suite 4 Dallas TX 75215-2322 | |
(214) 421-9100 | |
(214) 421-9700 |
Full Name | S T E P Med Inc |
---|---|
Speciality | Clinic/Center |
Location | 2929 Martin Luther King Blvd Suite 4, Dallas, Texas |
Authorized Official Name and Position | Pramesh Prakash Sharma (DIRECTOR OF ADMINISTRATION) |
Authorized Official Contact | 6613135503 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
S T E P Med Inc 954 E Madison St Brownsville TX 78520-5950 Ph: (661) 254-6630 | S T E P Med Inc 2929 Martin Luther King Blvd Suite 4 Dallas TX 75215-2322 Ph: (214) 421-9100 |
NPI Number | 1144366022 |
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Provider Enumeration Date | 01/29/2007 |
Last Update Date | 08/30/2022 |
Certification Date | 08/30/2022 |
Medicare PECOS PAC ID | 0648601732 |
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Medicare Enrollment ID | O20200505000929 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144366022 | NPI | - | NPPES |
550048 | Other | TX | NORTHSTAR |
1000062 | Other | TX | STATE NTP LICENSE |
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