| De La Paz Health Care | |
|
710 E Centerville Rd Garland TX 75041-4640 | |
| (972) 905-3520 | |
| (972) 278-3485 |
| Full Name | De La Paz Health Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 710 E Centerville Rd, Garland, Texas |
| Authorized Official Name and Position | Leovares Mendez (INTERNAL MEDICINE PHYSICIAN) |
| Authorized Official Contact | 9729053520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| De La Paz Health Care 710 E Centerville Rd Garland TX 75041-4640 Ph: (972) 905-3520 | De La Paz Health Care 710 E Centerville Rd Garland TX 75041-4640 Ph: (972) 905-3520 |
| NPI Number | 1275262032 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 06/08/2022 |
| Medicare PECOS PAC ID | 1355711250 |
|---|---|
| Medicare Enrollment ID | O20230111001522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275262032 | NPI | - | NPPES |
| 1760445936 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Leovares A Mendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760445936 PECOS PAC ID: 8224215173 Enrollment ID: I20120801000194 |
| Provider Name | Belkis G Lorenzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770073421 PECOS PAC ID: 1658741558 Enrollment ID: I20230111001299 |
| Provider Name | Odeida A Minaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700469202 PECOS PAC ID: 1052765765 Enrollment ID: I20230929000353 |
| Provider Name | Judith M Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588430987 PECOS PAC ID: 7214379411 Enrollment ID: I20240520001892 |
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