Back Office Management Services Llc | |
4200 Shepherd Ln, Balch Springs, TX 75180-3423 | |
(718) 972-5000 | |
(718) 972-3774 |
Full Name | Back Office Management Services Llc |
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Type | Facility |
Speciality | Podiatrist |
Location | 4200 Shepherd Ln, Balch Springs, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265739973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Dustin W Smith |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1164468344 PECOS PAC ID: 4688636111 Enrollment ID: I20041027001243 |
Provider Name | Mitchell N Williams |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1194990077 PECOS PAC ID: 6709958648 Enrollment ID: I20100217000121 |
Provider Name | Baha Atway |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1215168521 PECOS PAC ID: 8123216686 Enrollment ID: I20120307000714 |
Provider Name | Eideh D Atway |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1922367663 PECOS PAC ID: 1153587365 Enrollment ID: I20120716000286 |
Provider Name | Thomas George |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1457334583 PECOS PAC ID: 0840296547 Enrollment ID: I20130409000208 |
Provider Name | Jennifer T Maungu |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1023430121 PECOS PAC ID: 7012227531 Enrollment ID: I20151112000489 |
Provider Name | Yermesha L Kyle |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1649681537 PECOS PAC ID: 5890084925 Enrollment ID: I20170809000068 |
Provider Name | Gireesh Reddy |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1366976748 PECOS PAC ID: 2062784812 Enrollment ID: I20200626000705 |
Provider Name | Jinsung J Yoon |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1396212247 PECOS PAC ID: 5496125882 Enrollment ID: I20221229000983 |
Provider Name | Porsha Melcher |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1437568136 PECOS PAC ID: 3577825991 Enrollment ID: I20230413003026 |
Provider Name | Matthew T Vu |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1295350254 PECOS PAC ID: 7012353048 Enrollment ID: I20240322000312 |
Mailing Address | Practice Location Address |
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Back Office Management Services Llc 2802 Avenue P, Brooklyn, NY 11229-1810 Ph: (718) 972-5000 | Back Office Management Services Llc 4200 Shepherd Ln, Balch Springs, TX 75180-3423 Ph: (718) 972-5000 |