| Emergentcare2go | |
|
929 W Pioneer Pkwy Ste A Grand Prairie TX 75051-4726 | |
| (214) 612-6164 | |
| (817) 796-1100 |
| Full Name | Emergentcare2go |
|---|---|
| Speciality | Clinic/Center |
| Location | 929 W Pioneer Pkwy Ste A, Grand Prairie, Texas |
| Authorized Official Name and Position | Sonya L Wandji (EMPLOYEE) |
| Authorized Official Contact | 2146126164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergentcare2go 2512 County Road 529 Burleson TX 76028-2457 Ph: (256) 631-6830 | Emergentcare2go 929 W Pioneer Pkwy Ste A Grand Prairie TX 75051-4726 Ph: (214) 612-6164 |
| NPI Number | 1033737416 |
|---|---|
| Provider Enumeration Date | 07/11/2020 |
| Last Update Date | 07/11/2020 |
| Medicare PECOS PAC ID | 7618393265 |
|---|---|
| Medicare Enrollment ID | O20200813002370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033737416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Sonya L Wandji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730678582 PECOS PAC ID: 5294084984 Enrollment ID: I20200716001498 |
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