| Dallas Internal Medicine Associates P.a. | |
|
221 W Colorado Blvd Ste 730 Dallas TX 75208-2357 | |
| (214) 941-5200 | |
| (214) 948-8870 |
| Full Name | Dallas Internal Medicine Associates P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 221 W Colorado Blvd Ste 730, Dallas, Texas |
| Authorized Official Name and Position | Jerry Francis Davis (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2149415200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Internal Medicine Associates P.a. 221 W Colorado Blvd Ste 730 Dallas TX 75208-2357 Ph: (214) 941-5200 | Dallas Internal Medicine Associates P.a. 221 W Colorado Blvd Ste 730 Dallas TX 75208-2357 Ph: (214) 941-5200 |
| NPI Number | 1831200443 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 12/14/2010 |
| Medicare PECOS PAC ID | 1052466133 |
|---|---|
| Medicare Enrollment ID | O20090826000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831200443 | NPI | - | NPPES |
| Z000H19N8 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rogers Pressley Fair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063476463 PECOS PAC ID: 0345437455 Enrollment ID: I20101214001249 |
| Provider Name | Jerry Francis Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972521318 PECOS PAC ID: 0042365124 Enrollment ID: I20101215000094 |
| Provider Name | Bria Johnson Giddens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609540186 PECOS PAC ID: 9931592128 Enrollment ID: I20220210002883 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
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