| Ad Precision Medical Pllc | |
|
9901 Valley Ranch Pkwy E Ste 1015 Irving TX 75063-4777 | |
| (972) 417-1936 | |
| Not Available |
| Full Name | Ad Precision Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9901 Valley Ranch Pkwy E Ste 1015, Irving, Texas |
| Authorized Official Name and Position | Jason Mareno (OWNER) |
| Authorized Official Contact | 9724171936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ad Precision Medical Pllc 9901 Valley Ranch Pkwy E Ste 1015 Irving TX 75063-4777 Ph: (971) 417-1936 | Ad Precision Medical Pllc 9901 Valley Ranch Pkwy E Ste 1015 Irving TX 75063-4777 Ph: (972) 417-1936 |
| NPI Number | 1295354934 |
|---|---|
| Provider Enumeration Date | 04/13/2020 |
| Last Update Date | 05/01/2024 |
| Medicare PECOS PAC ID | 8426435355 |
|---|---|
| Medicare Enrollment ID | O20220516001727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295354934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Henry C Dees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659371375 PECOS PAC ID: 1254320930 Enrollment ID: I20040507001233 |
| Provider Name | Peter P Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780688028 PECOS PAC ID: 4789775008 Enrollment ID: I20070801000132 |
| Provider Name | Michelle Ann Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083710685 PECOS PAC ID: 2668555772 Enrollment ID: I20080213000308 |
| Provider Name | Fely Ong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710403894 PECOS PAC ID: 9931465184 Enrollment ID: I20171104000103 |
| Provider Name | Alesia Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710451224 PECOS PAC ID: 0345627279 Enrollment ID: I20220516002001 |
| Provider Name | Stergios Zissis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083211726 PECOS PAC ID: 3274945266 Enrollment ID: I20221004000125 |
| Provider Name | Magdalene O Obaroghedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417404526 PECOS PAC ID: 1052608361 Enrollment ID: I20221102001624 |
| Provider Name | Andreana Sara Min |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114799434 PECOS PAC ID: 1355783366 Enrollment ID: I20240522002195 |
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