| Environmental Health Center | |
|
399 Melrose Dr Ste A Richardson TX 75080-4455 | |
| (214) 368-4132 | |
| (214) 691-8432 |
| Full Name | Environmental Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 399 Melrose Dr Ste A, Richardson, Texas |
| Authorized Official Name and Position | Elizabeth Ruth Seymour (OWNER) |
| Authorized Official Contact | 2143684132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Environmental Health Center 399 Melrose Dr Ste A Richardson TX 75080-4455 Ph: (214) 368-4132 | Environmental Health Center 399 Melrose Dr Ste A Richardson TX 75080-4455 Ph: (214) 368-4132 |
| NPI Number | 1932664935 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 08/08/2024 |
| Medicare PECOS PAC ID | 2668712027 |
|---|---|
| Medicare Enrollment ID | O20190321000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932664935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard G Jaeckle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326152471 PECOS PAC ID: 8820132509 Enrollment ID: I20100218000449 |
| Provider Name | Elizabeth R Seymour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104968684 PECOS PAC ID: 8123181948 Enrollment ID: I20110518000117 |
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