| Concierge Mobile Md, Pllc | |
|
2549 Springhill Dr Grapevine TX 76051-7157 | |
| (682) 223-1526 | |
| (817) 488-6932 |
| Full Name | Concierge Mobile Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2549 Springhill Dr, Grapevine, Texas |
| Authorized Official Name and Position | Mary Y Tang (PRESIDENT) |
| Authorized Official Contact | 6822231526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge Mobile Md, Pllc 2549 Springhill Dr Grapevine TX 76051-7157 Ph: (682) 223-1526 | Concierge Mobile Md, Pllc 2549 Springhill Dr Grapevine TX 76051-7157 Ph: (682) 223-1526 |
| NPI Number | 1548729098 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 03/14/2019 |
| Medicare PECOS PAC ID | 3779824388 |
|---|---|
| Medicare Enrollment ID | O20190409001217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548729098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary Y Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770532061 PECOS PAC ID: 7911810957 Enrollment ID: I20031106000577 |
| Provider Name | Darolyn D Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609272905 PECOS PAC ID: 7911210554 Enrollment ID: I20150724011704 |
| Provider Name | Callie Marie Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548734999 PECOS PAC ID: 1850633975 Enrollment ID: I20190422000088 |
| Provider Name | Natasha Bowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871151704 PECOS PAC ID: 2365873379 Enrollment ID: I20200507000416 |
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