| Encompass Medical Group | |
|
12606 Greenville Ave Ste 110 Dallas TX 75243-1908 | |
| (214) 361-2015 | |
| (214) 361-2018 |
| Full Name | Encompass Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 12606 Greenville Ave Ste 110, Dallas, Texas |
| Authorized Official Name and Position | Corinthia Mcleroy (OWNER) |
| Authorized Official Contact | 9544017196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Encompass Medical Group 12606 Greenville Ave Ste 110 Dallas TX 75243-1908 Ph: (214) 361-2015 | Encompass Medical Group 12606 Greenville Ave Ste 110 Dallas TX 75243-1908 Ph: (214) 361-2015 |
| NPI Number | 1700333010 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 02/27/2024 |
| Medicare PECOS PAC ID | 2769767912 |
|---|---|
| Medicare Enrollment ID | O20170330001276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700333010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | P3043 (Texas) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | P3043 (Texas) | Primary |
| Provider Name | Corinthia Mcleroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467762070 PECOS PAC ID: 3274781604 Enrollment ID: I20120910000663 |
| Provider Name | Branden J Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174084024 PECOS PAC ID: 6901235357 Enrollment ID: I20200406001394 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
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Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Metroplex Geriatric Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX 75243 Phone: 972-739-3097 Fax: 972-739-2673 | |
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