| Epic Healthcare And Physical Medicine | |
|
1681 Justin Rd Suite 100 Flower Mound TX 75028-4323 | |
| (972) 420-0083 | |
| Not Available |
| Full Name | Epic Healthcare And Physical Medicine |
|---|---|
| Speciality | General Practice |
| Location | 1681 Justin Rd, Flower Mound, Texas |
| Authorized Official Name and Position | Carlos Venegas (OWNER) |
| Authorized Official Contact | 2145420321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epic Healthcare And Physical Medicine 1681 Justin Rd Suite 100 Flower Mound TX 75028-4323 Ph: () - | Epic Healthcare And Physical Medicine 1681 Justin Rd Suite 100 Flower Mound TX 75028-4323 Ph: (972) 420-0083 |
| NPI Number | 1518205483 |
|---|---|
| Provider Enumeration Date | 01/28/2013 |
| Last Update Date | 01/28/2013 |
| Medicare PECOS PAC ID | 5890931422 |
|---|---|
| Medicare Enrollment ID | O20130426000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518205483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | K0566 (Texas) | Primary |
| Provider Name | Wayne C. Starin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922059401 PECOS PAC ID: 1850381054 Enrollment ID: I20040518000284 |
| Provider Name | Himanshu R Patel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013932151 PECOS PAC ID: 3971535899 Enrollment ID: I20050831000400 |
| Provider Name | Jennifer W Doe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770761009 PECOS PAC ID: 1153497995 Enrollment ID: I20131029000819 |
| Provider Name | Latoya L Ludley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700256658 PECOS PAC ID: 0941500839 Enrollment ID: I20151125001120 |
| Provider Name | Kailey M Turrubiarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922522119 PECOS PAC ID: 3678847167 Enrollment ID: I20170921002999 |
| Provider Name | Jenny Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427524800 PECOS PAC ID: 0244653053 Enrollment ID: I20200713002729 |
| Provider Name | Ruben Barrientos |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417600131 PECOS PAC ID: 6800280611 Enrollment ID: I20220221001723 |
| Provider Name | Christopher C Rhoten |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164171898 PECOS PAC ID: 5597151803 Enrollment ID: I20220413000095 |
| Provider Name | Billy M Lockhart |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932530318 PECOS PAC ID: 1850523846 Enrollment ID: I20220810002169 |
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