| Allele Healthcare Inc | |
|
201 Florence Dr Lewisville TX 75056-5880 | |
| (214) 909-9772 | |
| (972) 767-4826 |
| Full Name | Allele Healthcare Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Florence Dr, Lewisville, Texas |
| Authorized Official Name and Position | Matthew Eckel (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2149099772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allele Healthcare Inc 5049 Edwards Ranch Rd Fl 4 Fort Worth TX 76109-4213 Ph: (214) 909-9772 | Allele Healthcare Inc 201 Florence Dr Lewisville TX 75056-5880 Ph: (214) 909-9772 |
| NPI Number | 1578348397 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Medicare PECOS PAC ID | 8921449570 |
|---|---|
| Medicare Enrollment ID | O20240514000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578348397 | NPI | - | NPPES |
| Provider Name | Ricardo Javier Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255472999 PECOS PAC ID: 2769453638 Enrollment ID: I20100902000692 |
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