| Doorstep Procare Management Llc | |
|
2944 Motley Dr Ste 401 Mesquite TX 75150-3464 | |
| (972) 289-2273 | |
| (972) 439-1776 |
| Full Name | Doorstep Procare Management Llc |
|---|---|
| Speciality | General Practice |
| Location | 2944 Motley Dr Ste 401, Mesquite, Texas |
| Authorized Official Name and Position | Jessie Garzon Mendiola (MANAGING MEMBER) |
| Authorized Official Contact | 4694384493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doorstep Procare Management Llc 12035 Shiloh Rd Ste 310 Dallas TX 75228-1507 Ph: (972) 289-2273 | Doorstep Procare Management Llc 2944 Motley Dr Ste 401 Mesquite TX 75150-3464 Ph: (972) 289-2273 |
| NPI Number | 1275996860 |
|---|---|
| Provider Enumeration Date | 03/31/2016 |
| Last Update Date | 02/01/2023 |
| Medicare PECOS PAC ID | 8527366889 |
|---|---|
| Medicare Enrollment ID | O20160420000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275996860 | NPI | - | NPPES |
| 3633174 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Federico P Ilang Ilang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417985300 PECOS PAC ID: 1951371160 Enrollment ID: I20040727000517 |
| Provider Name | Angelina A Rivero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033113386 PECOS PAC ID: 9335118504 Enrollment ID: I20040927000021 |
| Provider Name | Cristina R Aseron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811070436 PECOS PAC ID: 4284778101 Enrollment ID: I20100216000539 |
| Provider Name | Elizabeth S Pascual |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902892417 PECOS PAC ID: 9830261940 Enrollment ID: I20131223000853 |
| Provider Name | Florenda L Deguzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023540507 PECOS PAC ID: 0941541593 Enrollment ID: I20190408001969 |
| Provider Name | Olivia O Infante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447899679 PECOS PAC ID: 7618303116 Enrollment ID: I20200131000969 |
| Provider Name | Patricia G Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750913299 PECOS PAC ID: 1759672728 Enrollment ID: I20200423002287 |
| Provider Name | David Tri Dung Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487849188 PECOS PAC ID: 5193144145 Enrollment ID: I20200924003111 |
| Provider Name | Jayoung Jeong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245816404 PECOS PAC ID: 7012326002 Enrollment ID: I20210504000226 |
| Provider Name | Youngsun Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750992327 PECOS PAC ID: 4587063813 Enrollment ID: I20210519000295 |
| Provider Name | Maitanya Macalino Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396300919 PECOS PAC ID: 8729313754 Enrollment ID: I20220407002268 |
| Provider Name | Anjenelle Del Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194460469 PECOS PAC ID: 7416334826 Enrollment ID: I20220524000782 |
| Provider Name | Pedro Daniel Paez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235765181 PECOS PAC ID: 7315324753 Enrollment ID: I20220524002212 |
| Provider Name | Evaristo J Decena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477261527 PECOS PAC ID: 4880954825 Enrollment ID: I20230216000016 |
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