Centro Medico Doctor Primario Llc | |
407 W Eldorado Pkwy Ste 100 Little Elm TX 75068-5076 | |
(469) 579-5233 | |
(469) 579-5234 |
Full Name | Centro Medico Doctor Primario Llc |
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Speciality | Clinic/Center |
Location | 407 W Eldorado Pkwy Ste 100, Little Elm, Texas |
Authorized Official Name and Position | Orestes Becerra (MANAGER) |
Authorized Official Contact | 9723339665 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Centro Medico Doctor Primario Llc 9013 Tumbleweed Dr Crossroads TX 76227-2293 Ph: () - | Centro Medico Doctor Primario Llc 407 W Eldorado Pkwy Ste 100 Little Elm TX 75068-5076 Ph: (469) 579-5233 |
NPI Number | 1184321580 |
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Provider Enumeration Date | 02/15/2023 |
Last Update Date | 02/15/2023 |
Medicare PECOS PAC ID | 3072967215 |
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Medicare Enrollment ID | O20230921003835 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184321580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Yairis Perez Parodis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942963152 PECOS PAC ID: 5890149033 Enrollment ID: I20230921003952 |
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