| Castle Hills Medical Group | |
|
4343 N Josey Ln Carrollton TX 75010-4603 | |
| (310) 403-9595 | |
| Not Available |
| Full Name | Castle Hills Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 4343 N Josey Ln, Carrollton, Texas |
| Authorized Official Name and Position | Radha Savitala (CIEF LEGAL OFFICER) |
| Authorized Official Contact | 3104039595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Castle Hills Medical Group 4343 N Josey Ln Carrollton TX 75010-4603 Ph: (310) 403-9595 | Castle Hills Medical Group 4343 N Josey Ln Carrollton TX 75010-4603 Ph: (310) 403-9595 |
| NPI Number | 1922612977 |
|---|---|
| Provider Enumeration Date | 09/06/2020 |
| Last Update Date | 09/06/2020 |
| Medicare PECOS PAC ID | 0345644159 |
|---|---|
| Medicare Enrollment ID | O20210802000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922612977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bhagya R Arise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700903028 PECOS PAC ID: 0244329001 Enrollment ID: I20071130000389 |
| Provider Name | Fernando Davalos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578765848 PECOS PAC ID: 5193899771 Enrollment ID: I20080730000559 |
| Provider Name | Hong An T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558781153 PECOS PAC ID: 6002131398 Enrollment ID: I20170316000884 |
| Provider Name | Kamran Saleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336101468 PECOS PAC ID: 8022015064 Enrollment ID: I20190206001625 |
| Provider Name | Ala Nijim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356683189 PECOS PAC ID: 4880823947 Enrollment ID: I20190808003346 |
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