| Transicare, Inc. | |
|
628 Centre St Ste A Dallas TX 75208-6328 | |
| (214) 367-6875 | |
| (972) 354-0006 |
| Full Name | Transicare, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 628 Centre St Ste A, Dallas, Texas |
| Authorized Official Name and Position | Timothy Scott Black (CEO) |
| Authorized Official Contact | 2143425800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transicare, Inc. 628 Centre St Ste B Dallas TX 75208-6328 Ph: (214) 342-5800 | Transicare, Inc. 628 Centre St Ste A Dallas TX 75208-6328 Ph: (214) 367-6875 |
| NPI Number | 1609903483 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/12/2022 |
| Medicare PECOS PAC ID | 4587953682 |
|---|---|
| Medicare Enrollment ID | O20160512001582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609903483 | NPI | - | NPPES |
| Provider Name | Michael R Noss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699726141 PECOS PAC ID: 8527069467 Enrollment ID: I20070120000084 |
| Provider Name | Tomekia R Starling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932623964 PECOS PAC ID: 3375877301 Enrollment ID: I20190626000130 |
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