| Ahl Medical Group | |
|
2801 Lemmon Ave Ste 400 Dallas TX 75204-2399 | |
| (214) 303-1033 | |
| (214) 303-1032 |
| Full Name | Ahl Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 2801 Lemmon Ave Ste 400, Dallas, Texas |
| Authorized Official Name and Position | David M Lee (MD) |
| Authorized Official Contact | 2143031033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahl Medical Group 2801 Lemmon Ave Ste 400 Dallas TX 75204-2399 Ph: (214) 303-1033 | Ahl Medical Group 2801 Lemmon Ave Ste 400 Dallas TX 75204-2399 Ph: (214) 303-1033 |
| NPI Number | 1073576864 |
|---|---|
| Provider Enumeration Date | 04/11/2006 |
| Last Update Date | 08/01/2024 |
| Medicare PECOS PAC ID | 3274572441 |
|---|---|
| Medicare Enrollment ID | O20050427000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073576864 | NPI | - | NPPES |
| 0006MQ | Other | TX | BC/BS |
| 173762901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | David M Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801850201 PECOS PAC ID: 8527022714 Enrollment ID: I20041117000568 |
| Provider Name | Donald A Graneto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669672481 PECOS PAC ID: 8224224282 Enrollment ID: I20101202000349 |
| Provider Name | Vanessa L Bludau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063763670 PECOS PAC ID: 4486890704 Enrollment ID: I20130411000147 |
| Provider Name | Eric M Klappholz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003258856 PECOS PAC ID: 8224252721 Enrollment ID: I20140623002049 |
| Provider Name | William A Hays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518900554 PECOS PAC ID: 7113234535 Enrollment ID: I20180508000777 |
| Provider Name | Kristina Kay Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609342435 PECOS PAC ID: 9830430685 Enrollment ID: I20190404002467 |
| Provider Name | Taylor G Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386185593 PECOS PAC ID: 9739584699 Enrollment ID: I20210816003975 |
| Provider Name | Ismail Shakoor Boodhwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033685680 PECOS PAC ID: 0345628632 Enrollment ID: I20220526002516 |
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 | |
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Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
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 | |
Family Practice House Calls Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11882 Greenville Ave, Suite B100, Dallas, TX 75243 Phone: 214-865-7331 Fax: 855-237-5132 |