Covenant Women's Health Pllc | |
801 Road To Six Flags W Ste 116 Arlington TX 76012-2615 | |
(817) 542-0833 | |
Not Available |
Full Name | Covenant Women's Health Pllc |
---|---|
Speciality | Obstetrics & Gynecology |
Location | 801 Road To Six Flags W Ste 116, Arlington, Texas |
Authorized Official Name and Position | Edileola Makinde (MD) |
Authorized Official Contact | 4103001216 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Covenant Women's Health Pllc Po Box 270 Shannon AL 35142-0270 Ph: (059) 626-0162 | Covenant Women's Health Pllc 801 Road To Six Flags W Ste 116 Arlington TX 76012-2615 Ph: (817) 542-0833 |
NPI Number | 1114537362 |
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Provider Enumeration Date | 08/03/2020 |
Last Update Date | 02/05/2025 |
Medicare PECOS PAC ID | 0648697268 |
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Medicare Enrollment ID | O20200827002930 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114537362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
Provider Name | Edileola Makinde |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1811954852 PECOS PAC ID: 3476655721 Enrollment ID: I20160311001708 |
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