<unavail> in Southlake, TX - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Southlake, Texas. The current practice location for is 2419 W Southlake Blvd Ste 100, Southlake, Texas. For appointments, you can reach them via phone at (817) 809-2660. The mailing address for is 2805 Dallas Pkwy Ste 640, Plano, Texas and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1518476407. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (817) 809-2660.

Contact Information


	2419 W Southlake Blvd Ste 100 Southlake TX 76092-6718
	(817) 809-2660
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	2419 W Southlake Blvd Ste 100, Southlake, Texas
Authorized Official Name and Position	David Hassinger (PRESIDENT)
Authorized Official Contact	2149830303
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2805 Dallas Pkwy Ste 640 Plano TX 75093-8724 Ph: () -	2419 W Southlake Blvd Ste 100 Southlake TX 76092-6718 Ph: (817) 809-2660

NPI Details:

NPI Number	1518476407
Provider Enumeration Date	09/24/2017
Last Update Date	09/24/2017

Medicare PECOS Information:

Medicare PECOS PAC ID	1355620055
Medicare Enrollment ID	O20180207001034

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518476407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Southlake, TX

Mediclink Management Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-506-4132
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Southlake Hospitalists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1321 Bay Meadows Dr, Southlake, TX 76092 Phone: 817-521-4747 Fax: 214-279-9273
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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2009 Woodbury Ct, Southlake, TX 76092 Phone: 972-352-0920
Modern Medical House Calls Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 855 Davis Blvd Ste 500, Southlake, TX 76092 Phone: 817-912-1771 Fax: 940-241-6156
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2106 E State Highway 114, Ste 300, Southlake, TX 76092 Phone: 817-552-4300

- Medicare Primary Care in Southlake, TX