Bella Medical, Pllc | |
6018 Tuckers Pl Rowlett TX 75089-7125 | |
(469) 348-4124 | |
Not Available |
Full Name | Bella Medical, Pllc |
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Speciality | Family Medicine |
Location | 6018 Tuckers Pl, Rowlett, Texas |
Authorized Official Name and Position | Mark A Reynolds (PRACTICE CONSULTANT) |
Authorized Official Contact | 9727544284 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bella Medical, Pllc 4010 W Park Blvd Plano TX 75093-3839 Ph: (972) 482-4291 | Bella Medical, Pllc 6018 Tuckers Pl Rowlett TX 75089-7125 Ph: (469) 348-4124 |
NPI Number | 1841942646 |
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Provider Enumeration Date | 01/22/2022 |
Last Update Date | 09/09/2022 |
Medicare PECOS PAC ID | 2264801786 |
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Medicare Enrollment ID | O20221206000102 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841942646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mahdi M Awwad |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023375995 PECOS PAC ID: 9133362460 Enrollment ID: I20161011002634 |
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