Care Live | |
4070 N Belt Line Rd Irving TX 75038-5028 | |
(817) 706-2091 | |
Not Available |
Full Name | Care Live |
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Speciality | Clinic/Center |
Location | 4070 N Belt Line Rd, Irving, Texas |
Authorized Official Name and Position | Shamsuddin Lalani (PRESIDENT) |
Authorized Official Contact | 8177062091 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Care Live 4070 N Belt Line Rd Irving TX 75038-5028 Ph: (817) 706-2091 | Care Live 4070 N Belt Line Rd Irving TX 75038-5028 Ph: (817) 706-2091 |
NPI Number | 1972005924 |
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Provider Enumeration Date | 03/06/2018 |
Last Update Date | 03/06/2018 |
Medicare PECOS PAC ID | 5092064808 |
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Medicare Enrollment ID | O20180827002849 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972005924 | NPI | - | NPPES |
Provider Name | Shamsuddin B Lalani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578853594 PECOS PAC ID: 7214252683 Enrollment ID: I20160503000717 |
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