Achieve Health Physician Services, Pllc | |
350 Westpark Way Ste 103 Euless TX 76040-3715 | |
(817) 508-8030 | |
(817) 398-4029 |
Full Name | Achieve Health Physician Services, Pllc |
---|---|
Speciality | Internal Medicine |
Location | 350 Westpark Way Ste 103, Euless, Texas |
Authorized Official Name and Position | Patrick Ryan Nolen (PRESIDENT) |
Authorized Official Contact | 8177054900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Achieve Health Physician Services, Pllc 350 Westpark Way Ste 103 Euless TX 76040-3715 Ph: (817) 508-8030 | Achieve Health Physician Services, Pllc 350 Westpark Way Ste 103 Euless TX 76040-3715 Ph: (817) 508-8030 |
NPI Number | 1457815052 |
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Provider Enumeration Date | 01/28/2019 |
Last Update Date | 04/14/2023 |
Medicare PECOS PAC ID | 4082957709 |
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Medicare Enrollment ID | O20190521003210 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457815052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Patrick R Nolen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952676132 PECOS PAC ID: 0648403410 Enrollment ID: I20151008002543 |
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