| Alazar Medical Group, Pllc | |
|
201 Walls Dr Suite 505 Cleburne TX 76033-4007 | |
| (817) 556-9700 | |
| (817) 556-9702 |
| Full Name | Alazar Medical Group, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Walls Dr, Cleburne, Texas |
| Authorized Official Name and Position | Maurice Alazar (OWNER) |
| Authorized Official Contact | 8175569700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alazar Medical Group, Pllc 201 Walls Dr Suite 505 Cleburne TX 76033-4007 Ph: (817) 556-9700 | Alazar Medical Group, Pllc 201 Walls Dr Suite 505 Cleburne TX 76033-4007 Ph: (817) 556-9700 |
| NPI Number | 1932532199 |
|---|---|
| Provider Enumeration Date | 08/12/2013 |
| Last Update Date | 10/02/2013 |
| Medicare PECOS PAC ID | 3678702867 |
|---|---|
| Medicare Enrollment ID | O20140211000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932532199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | P 4020 (Texas) | Primary |
| Provider Name | Maurice Alazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215102074 PECOS PAC ID: 4284706391 Enrollment ID: I20140211000521 |
| Provider Name | Keali Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790320463 PECOS PAC ID: 9234564469 Enrollment ID: I20200116002053 |
| Provider Name | Rachael Allison Millham-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093483364 PECOS PAC ID: 9335536424 Enrollment ID: I20220419002402 |
| Provider Name | Nsume Eseme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649983248 PECOS PAC ID: 0941667703 Enrollment ID: I20230609000790 |
| Provider Name | Paul Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417537671 PECOS PAC ID: 0345697223 Enrollment ID: I20231115000213 |
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