Jynna J Ulrich, PA | |
725 S Bliss Ave, Dumas, TX 79029-4436 | |
(806) 452-1032 | |
(316) 634-4040 |
Full Name | Jynna J Ulrich |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 725 S Bliss Ave, Dumas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154467637 | NPI | - | NPPES |
201108990A | Medicaid | KS | |
PA05064 | Other | TX | LICENSE |
003719365 | Other | KS | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 15-01772 (Kansas) | Secondary |
363AM0700X | Physician Assistant - Medical | PA05064 (Texas) | Primary |
Entity Name | Medical Care Enterprises Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730878505 PECOS PAC ID: 3870956055 Enrollment ID: O20231012001771 |
Mailing Address | Practice Location Address |
---|---|
Jynna J Ulrich, PA 725 S Bliss Ave, Dumas, TX 79029-4436 Ph: (806) 681-7265 | Jynna J Ulrich, PA 725 S Bliss Ave, Dumas, TX 79029-4436 Ph: (806) 452-1032 |
Mr. James Michael Warrilow, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 E 1st St, Ste 200, Dumas, TX 79029 Phone: 806-935-7171 | |
Mrs. Kori Lynn Trimble, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 S Bliss Ave, Dumas, TX 79029 Phone: 806-935-1900 Fax: 806-934-3343 |