| Centenary Family & Urgent Care | |
|
8702 S Lancaster Rd Ste 160 Dallas TX 75241-6319 | |
| (682) 559-2821 | |
| (214) 339-2784 |
| Full Name | Centenary Family & Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 8702 S Lancaster Rd Ste 160, Dallas, Texas |
| Authorized Official Name and Position | Inita Michelle Griffin (ADMIN) |
| Authorized Official Contact | 4699498900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centenary Family & Urgent Care 8702 S Lancaster Rd Ste 160 Dallas TX 75241-6319 Ph: (469) 949-8900 | Centenary Family & Urgent Care 8702 S Lancaster Rd Ste 160 Dallas TX 75241-6319 Ph: (682) 559-2821 |
| NPI Number | 1104447937 |
|---|---|
| Provider Enumeration Date | 05/04/2020 |
| Last Update Date | 08/14/2023 |
| Medicare PECOS PAC ID | 1456773985 |
|---|---|
| Medicare Enrollment ID | O20200629003537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104447937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Inita Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568830933 PECOS PAC ID: 8426107814 Enrollment ID: I20160914000098 |
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