| Alliance Post Acute Associates Llc | |
|
4016 Nicole Dr Richardson TX 75082-3768 | |
| (214) 797-6149 | |
| (972) 437-1853 |
| Full Name | Alliance Post Acute Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4016 Nicole Dr, Richardson, Texas |
| Authorized Official Name and Position | Neeta Nayak (PRESIDENT) |
| Authorized Official Contact | 2147976149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Post Acute Associates Llc 4016 Nicole Dr Richardson TX 75082-3768 Ph: (214) 797-6149 | Alliance Post Acute Associates Llc 4016 Nicole Dr Richardson TX 75082-3768 Ph: (214) 797-6149 |
| NPI Number | 1588066856 |
|---|---|
| Provider Enumeration Date | 09/18/2014 |
| Last Update Date | 09/18/2014 |
| Medicare PECOS PAC ID | 6002138997 |
|---|---|
| Medicare Enrollment ID | O20141203002224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588066856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | K8375 (Texas) | Primary |
| Provider Name | Neeta G Nayak |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1407887425 PECOS PAC ID: 9537250741 Enrollment ID: I20070802000122 |
| Provider Name | Jane N Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043616030 PECOS PAC ID: 8325368616 Enrollment ID: I20150528001154 |
| Provider Name | Sanju Baino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992218424 PECOS PAC ID: 3072889138 Enrollment ID: I20180425000775 |
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