| Dallas Pediatrics And Children's Healthcare, P.a. | |
|
12606 Greenville Ave Ste 120 Dallas TX 75243-1926 | |
| (214) 292-0072 | |
| (972) 231-0360 |
| Full Name | Dallas Pediatrics And Children's Healthcare, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 12606 Greenville Ave Ste 120, Dallas, Texas |
| Authorized Official Name and Position | Anisa Ahmed (DIRECTOR) |
| Authorized Official Contact | 2147288867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Pediatrics And Children's Healthcare, P.a. 3409 Spectrum Blvd Ste 300 Richardson TX 75082-9713 Ph: (214) 728-8867 | Dallas Pediatrics And Children's Healthcare, P.a. 12606 Greenville Ave Ste 120 Dallas TX 75243-1926 Ph: (214) 292-0072 |
| NPI Number | 1932555133 |
|---|---|
| Provider Enumeration Date | 05/06/2016 |
| Last Update Date | 12/21/2021 |
| Medicare PECOS PAC ID | 6608267943 |
|---|---|
| Medicare Enrollment ID | O20211222000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932555133 | NPI | - | NPPES |
| 359470704 | Medicaid | TX | |
| 046074305 | Medicaid | TX | |
| 046074304 | Medicaid | TX | |
| 046074306 | Medicaid | TX | |
| 359470702 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Texas) | Primary |
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 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Metroplex Geriatric Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX 75243 Phone: 972-739-3097 Fax: 972-739-2673 | |
Family Practice House Calls Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11882 Greenville Ave, Suite B100, Dallas, TX 75243 Phone: 214-865-7331 Fax: 855-237-5132 |