Abounding Prosperity, Inc. | |
1619 Martin Luther King Jr Blvd Dallas TX 75215-3228 | |
(469) 778-0017 | |
(469) 778-0019 |
Full Name | Abounding Prosperity, Inc. |
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Speciality | Clinic/Center |
Location | 1619 Martin Luther King Jr Blvd, Dallas, Texas |
Authorized Official Name and Position | Tamara Stephney (COO) |
Authorized Official Contact | 4697780017 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Abounding Prosperity, Inc. 2311 Martin Luther King Jr Blvd Dallas TX 75215-2302 Ph: (214) 421-4800 | Abounding Prosperity, Inc. 1619 Martin Luther King Jr Blvd Dallas TX 75215-3228 Ph: (469) 778-0017 |
NPI Number | 1003191750 |
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Provider Enumeration Date | 10/13/2011 |
Last Update Date | 02/04/2025 |
Medicare PECOS PAC ID | 5092150250 |
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Medicare Enrollment ID | O20240227002989 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003191750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | John Moyle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750754461 PECOS PAC ID: 9335422732 Enrollment ID: I20170209000808 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Metroplex Geriatric Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX 75243 Phone: 972-739-3097 Fax: 972-739-2673 |