| Centerwell Senior Primary Care- South Garland | |
|
1205 Northwest Hwy Garland TX 75041-5835 | |
| (469) 936-0541 | |
| (877) 541-4239 |
| Full Name | Centerwell Senior Primary Care- South Garland |
|---|---|
| Speciality | Internal Medicine |
| Location | 1205 Northwest Hwy, Garland, Texas |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care- South Garland 4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | Centerwell Senior Primary Care- South Garland 1205 Northwest Hwy Garland TX 75041-5835 Ph: (469) 936-0541 |
| NPI Number | 1518689769 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 10/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518689769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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