Dorrough Medical Services Pllc | |
1411 N Beckley Ave Ste 356 Dallas TX 75203-1591 | |
(469) 290-6400 | |
(469) 290-6405 |
Full Name | Dorrough Medical Services Pllc |
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Speciality | Internal Medicine |
Location | 1411 N Beckley Ave Ste 356, Dallas, Texas |
Authorized Official Name and Position | Mollie Rice-dorrough (PHYSICIAN) |
Authorized Official Contact | 4692906400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dorrough Medical Services Pllc 1411 N Beckley Ave Ste 356 Dallas TX 75203-1591 Ph: (469) 290-6400 | Dorrough Medical Services Pllc 1411 N Beckley Ave Ste 356 Dallas TX 75203-1591 Ph: (469) 290-6400 |
NPI Number | 1295499184 |
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Provider Enumeration Date | 10/26/2021 |
Last Update Date | 12/13/2022 |
Medicare PECOS PAC ID | 2961892203 |
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Medicare Enrollment ID | O20211201000676 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295499184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Provider Name | Mollie Rice Dorrough |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508963695 PECOS PAC ID: 3476687732 Enrollment ID: I20100823000521 |
Provider Name | Sharonda Michelle Ransom |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891332656 PECOS PAC ID: 7113330135 Enrollment ID: I20210113000738 |
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