| Dallas Regenerative And Neuropathy Center Pllc | |
|
4700 Dexter Dr Ste 400 Plano TX 75093-5299 | |
| (469) 209-8100 | |
| Not Available |
| Full Name | Dallas Regenerative And Neuropathy Center Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4700 Dexter Dr Ste 400, Plano, Texas |
| Authorized Official Name and Position | Alma Horrilleno (CO-OWNER) |
| Authorized Official Contact | 4692098100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Regenerative And Neuropathy Center Pllc 4700 Dexter Dr Ste 400 Plano TX 75093-5299 Ph: (469) 209-8100 | Dallas Regenerative And Neuropathy Center Pllc 4700 Dexter Dr Ste 400 Plano TX 75093-5299 Ph: (469) 209-8100 |
| NPI Number | 1386284842 |
|---|---|
| Provider Enumeration Date | 01/13/2020 |
| Last Update Date | 12/09/2022 |
| Medicare PECOS PAC ID | 2567890270 |
|---|---|
| Medicare Enrollment ID | O20200311002039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386284842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Brenda D Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922042951 PECOS PAC ID: 8921042896 Enrollment ID: I20050613000783 |
| Provider Name | Alma C Horrilleno |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568411213 PECOS PAC ID: 8022052158 Enrollment ID: I20050620000197 |
| Provider Name | Henry Horrilleno |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558310219 PECOS PAC ID: 0941244073 Enrollment ID: I20200910001362 |
| Provider Name | Kriti Khati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013561620 PECOS PAC ID: 6901262195 Enrollment ID: I20230512001578 |
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