| Dallas Family Medical | |
|
16901 Dallas Pkwy Ste 208 Addison TX 75001-5226 | |
| (972) 248-2020 | |
| (972) 248-2028 |
| Full Name | Dallas Family Medical |
|---|---|
| Speciality | General Practice |
| Location | 16901 Dallas Pkwy, Addison, Texas |
| Authorized Official Name and Position | Julie L. Reihsen (OWNER/ DOCTOR) |
| Authorized Official Contact | 9722482020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Family Medical 16901 Dallas Pkwy Ste 208 Addison TX 75001-5226 Ph: (972) 248-2020 | Dallas Family Medical 16901 Dallas Pkwy Ste 208 Addison TX 75001-5226 Ph: (972) 248-2020 |
| NPI Number | 1629245030 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 06/02/2016 |
| Medicare PECOS PAC ID | 8325294630 |
|---|---|
| Medicare Enrollment ID | O20120801000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629245030 | NPI | - | NPPES |
| 0007QF | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | J5457 (Texas) | Primary |
| Provider Name | Julie L Reihsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083614358 PECOS PAC ID: 2668628975 Enrollment ID: I20120801000807 |
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