| 4l-a Clinic And Consultants Inc | |
|
2502 S Belt Line Rd Ste 400b Grand Prairie TX 75052-5345 | |
| (832) 922-3201 | |
| (469) 647-5291 |
| Full Name | 4l-a Clinic And Consultants Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2502 S Belt Line Rd Ste 400b, Grand Prairie, Texas |
| Authorized Official Name and Position | Lilian Melvis Everts (OWNER/PROVIDER) |
| Authorized Official Contact | 8329223201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 4l-a Clinic And Consultants Inc 1000 Sunrise Ct Cedar Hill TX 75104-8250 Ph: () - | 4l-a Clinic And Consultants Inc 2502 S Belt Line Rd Ste 400b Grand Prairie TX 75052-5345 Ph: (832) 922-3201 |
| NPI Number | 1659018604 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 11/14/2023 |
| Medicare PECOS PAC ID | 0941685788 |
|---|---|
| Medicare Enrollment ID | O20220915001239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659018604 | NPI | - | NPPES |
| Provider Name | Deeni De La Rosa Perez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346596103 PECOS PAC ID: 4486929189 Enrollment ID: I20171005002216 |
| Provider Name | Julius N Ngu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952748238 PECOS PAC ID: 2466854625 Enrollment ID: I20210709001953 |
| Provider Name | Lilian Melvis Everts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790443786 PECOS PAC ID: 5193127629 Enrollment ID: I20220915001851 |
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