| Abc Medical Center | |
|
8 Medical Pkwy, Plaza Ii Suite 106 Farmers Branch TX 75234-6336 | |
| (972) 406-2896 | |
| (972) 406-2767 |
| Full Name | Abc Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 8 Medical Pkwy, Plaza Ii Suite 106, Farmers Branch, Texas |
| Authorized Official Name and Position | Ricardo Javier Martinez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9724062896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Medical Center 8 Medical Pkwy, Plaza Ii Suite 106 Farmers Branch TX 75234-6336 Ph: (972) 406-2896 | Abc Medical Center 8 Medical Pkwy, Plaza Ii Suite 106 Farmers Branch TX 75234-6336 Ph: (972) 406-2896 |
| NPI Number | 1891809315 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 12/02/2022 |
| Medicare PECOS PAC ID | 1052382926 |
|---|---|
| Medicare Enrollment ID | O20040804000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891809315 | NPI | - | NPPES |
| 079594001 | Medicaid | TX | |
| 135308801 | Medicaid | TX | |
| 0795904002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | J9752 (Texas) | Primary |
| Provider Name | Ricardo Javier Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255472999 PECOS PAC ID: 2769453638 Enrollment ID: I20100902000692 |
| Provider Name | Stella Kwamboka Osoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528427200 PECOS PAC ID: 6305144718 Enrollment ID: I20160419001735 |
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