Adjuva Primary Care Inc. | |
4901 State Highway 114 Suite 102 Northlake TX 76262-1466 | |
(817) 554-2121 | |
(817) 813-8183 |
Full Name | Adjuva Primary Care Inc. |
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Speciality | Nurse Practitioner |
Location | 4901 State Highway 114, Northlake, Texas |
Authorized Official Name and Position | Margaret Adee Stinnett (OWNER/PROVIDER) |
Authorized Official Contact | 8175542121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Adjuva Primary Care Inc. 4901 State Highway 114 Suite 102 Northlake TX 76262-1466 Ph: (817) 554-2121 | Adjuva Primary Care Inc. 4901 State Highway 114 Suite 102 Northlake TX 76262-1466 Ph: (817) 554-2121 |
NPI Number | 1316553043 |
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Provider Enumeration Date | 09/17/2020 |
Last Update Date | 01/23/2023 |
Medicare PECOS PAC ID | 2769891746 |
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Medicare Enrollment ID | O20210503002670 |
Identifier | Type | State | Issuer |
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1316553043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Margaret A Stinnett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114495629 PECOS PAC ID: 2466788401 Enrollment ID: I20190729001565 |
Justin Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 Westview Ln, Northlake, TX 76226 Phone: 940-368-7769 | |
Lord And Lady Wellness & Aesthetics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5001 Tx 114, Apt 4102, Northlake, TX 76262 Phone: 817-918-8725 Fax: 682-316-9277 |