| Advanced Endoscopy Consultants Pllc | |
|
6500 Sierra Dr # 170 Irving TX 75039-2480 | |
| (972) 884-4030 | |
| (972) 884-4031 |
| Full Name | Advanced Endoscopy Consultants Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6500 Sierra Dr # 170, Irving, Texas |
| Authorized Official Name and Position | James Steven Burdick (OWNER) |
| Authorized Official Contact | 9728844030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Endoscopy Consultants Pllc Po Box 674431 Dallas TX 75267-4431 Ph: (972) 616-4000 | Advanced Endoscopy Consultants Pllc 6500 Sierra Dr # 170 Irving TX 75039-2480 Ph: (972) 884-4030 |
| NPI Number | 1861913238 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 03/24/2020 |
| Medicare PECOS PAC ID | 2668746322 |
|---|---|
| Medicare Enrollment ID | O20170919000967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861913238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K0655 (Texas) | Primary |
| Provider Name | James S Burdick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295791564 PECOS PAC ID: 8426055344 Enrollment ID: I20061106000523 |
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