| Dr Yoni Llc | |
|
4849 Greenville Ave # 100-128 Dallas TX 75206-4130 | |
| (214) 383-8360 | |
| Not Available |
| Full Name | Dr Yoni Llc |
|---|---|
| Speciality | General Practice |
| Location | 4849 Greenville Ave # 100-128, Dallas, Texas |
| Authorized Official Name and Position | Yoni Samocha (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2143838360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Yoni Llc 4849 Greenville Ave # 100-128 Dallas TX 75206-4130 Ph: (214) 383-8360 | Dr Yoni Llc 4849 Greenville Ave # 100-128 Dallas TX 75206-4130 Ph: (214) 383-8360 |
| NPI Number | 1447022884 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Medicare PECOS PAC ID | 0244683761 |
|---|---|
| Medicare Enrollment ID | O20240131001658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447022884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Yoni Samocha |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265852008 PECOS PAC ID: 1557624301 Enrollment ID: I20210922000225 |
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