Edropa Family Medicine Clinic | |
429 E Interstate 30 Ste 114 Garland TX 75043-4097 | |
(972) 795-3292 | |
(972) 767-0334 |
Full Name | Edropa Family Medicine Clinic |
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Speciality | Clinic/Center |
Location | 429 E Interstate 30 Ste 114, Garland, Texas |
Authorized Official Name and Position | Joan Adomaa Asafo-agyei (DIRECTOR) |
Authorized Official Contact | 9727953292 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Edropa Family Medicine Clinic 339 Redstone Dr Sunnyvale TX 75182-3240 Ph: () - | Edropa Family Medicine Clinic 429 E Interstate 30 Ste 114 Garland TX 75043-4097 Ph: (972) 795-3292 |
NPI Number | 1467090050 |
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Provider Enumeration Date | 12/14/2019 |
Last Update Date | 10/18/2024 |
Medicare PECOS PAC ID | 7810327509 |
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Medicare Enrollment ID | O20200421000509 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467090050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Provider Name | Joan Adomaa Asafo-agyei |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104301647 PECOS PAC ID: 6901976141 Enrollment ID: I20200421000861 |
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