Excel Family Medicine & Pediatrics Clinic, Inc | |
2707 Bolton Boone Dr. Suite 100 Desoto TX 75115-2019 | |
(469) 206-2630 | |
(214) 730-4281 |
Full Name | Excel Family Medicine & Pediatrics Clinic, Inc |
---|---|
Speciality | Family Medicine |
Location | 2707 Bolton Boone Dr., Desoto, Texas |
Authorized Official Name and Position | Dennis O Ochei (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4692062630 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Excel Family Medicine & Pediatrics Clinic, Inc 2707 Bolton Boone Dr. Suite 100 Desoto TX 75115-2019 Ph: (469) 206-2630 | Excel Family Medicine & Pediatrics Clinic, Inc 2707 Bolton Boone Dr. Suite 100 Desoto TX 75115-2019 Ph: (469) 206-2630 |
NPI Number | 1336485838 |
---|---|
Provider Enumeration Date | 01/02/2013 |
Last Update Date | 11/03/2016 |
Medicare PECOS PAC ID | 2365673910 |
---|---|
Medicare Enrollment ID | O20140324001311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336485838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K8394 (Texas) | Primary |
Provider Name | Dennis O Ochei |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083736326 PECOS PAC ID: 0648169623 Enrollment ID: I20040315001420 |
Nallu R Reddy Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2727 Bolton Boone Dr, 111, Desoto, TX 75115 Phone: 972-780-0357 Fax: 972-780-7829 | |
Elite Np Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 412 E Pleasant Run Rd Ste B, Desoto, TX 75115 Phone: 682-325-9617 | |
Compassionate Family Health Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2727 Bolton Boone Dr Ste 110, Desoto, TX 75115 Phone: 972-685-2494 Fax: 972-739-2436 | |
Priceless Beauty Spa,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 June Bug Ln, Desoto, TX 75115 Phone: 972-358-8109 Fax: 872-888-0554 | |
Ricardo Quezada Real Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 951 York Dr Ste 103, Desoto, TX 75115 Phone: 972-866-4311 Fax: 972-866-4312 | |
Mahesh Kottapalli, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2727 Bolton Boone Dr, Suite109, Desoto, TX 75115 Phone: 972-283-2370 Fax: 972-296-0311 | |
Southwest Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 N Hampton Rd, Desoto, TX 75115 Phone: 972-709-2828 |