| Cumbre Medical Center Llc | |
|
710 E Centerville Rd Garland TX 75041-4640 | |
| (972) 905-3520 | |
| (972) 278-3485 |
| Full Name | Cumbre Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 710 E Centerville Rd, Garland, Texas |
| Authorized Official Name and Position | Leovares Mendez (PHYSICIAN) |
| Authorized Official Contact | 2143957762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumbre Medical Center Llc Po Box 497043 Garland TX 75049-7043 Ph: (972) 905-3520 | Cumbre Medical Center Llc 710 E Centerville Rd Garland TX 75041-4640 Ph: (972) 905-3520 |
| NPI Number | 1376811166 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 04/24/2012 |
| Medicare PECOS PAC ID | 5799947420 |
|---|---|
| Medicare Enrollment ID | O20120425000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376811166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Cesar B Pena-rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073576435 PECOS PAC ID: 5092749515 Enrollment ID: I20050923000858 |
| Provider Name | Leovares A Mendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760445936 PECOS PAC ID: 8224215173 Enrollment ID: I20120801000194 |
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