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1000 E Belt Line Rd # 112 Carrollton TX 75006-6282 | |
(972) 338-5574 | |
(469) 393-7206 |
Full Name | |
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Speciality | Family Medicine |
Location | 1000 E Belt Line Rd # 112, Carrollton, Texas |
Authorized Official Name and Position | Christina Casey (OWNER) |
Authorized Official Contact | 9723385574 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1000 E Belt Line Rd Ste 112 Carrollton TX 75006-6282 Ph: (972) 338-5574 | 1000 E Belt Line Rd # 112 Carrollton TX 75006-6282 Ph: (972) 338-5574 |
NPI Number | 1821672122 |
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Provider Enumeration Date | 05/12/2021 |
Last Update Date | 01/25/2023 |
Medicare PECOS PAC ID | 1951790542 |
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Medicare Enrollment ID | O20211122000320 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821672122 | NPI | - | NPPES |
1770927634 | Other | TX | CHRISTINA CASEY - INDIVIDUAL NPI |
351641102 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Christina Casey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770927634 PECOS PAC ID: 1850521766 Enrollment ID: I20151118002435 |
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