Gastroenterology Practice Associates, Pllc | |
301 Highlander Blvd. Suite 121 Arlington TX 76018-1164 | |
(817) 468-7200 | |
(817) 468-7201 |
Full Name | Gastroenterology Practice Associates, Pllc |
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Speciality | Internal Medicine |
Location | 301 Highlander Blvd., Arlington, Texas |
Authorized Official Name and Position | Olufemi Abiodun (OWNER/PHYSICIAN) |
Authorized Official Contact | 8174687200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gastroenterology Practice Associates, Pllc 301 Highlander Blvd. Suite 121 Arlington TX 76018-1164 Ph: (817) 468-7200 | Gastroenterology Practice Associates, Pllc 301 Highlander Blvd. Suite 121 Arlington TX 76018-1164 Ph: (817) 468-7200 |
NPI Number | 1821224825 |
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Provider Enumeration Date | 06/04/2009 |
Last Update Date | 11/04/2015 |
Medicare PECOS PAC ID | 0143367342 |
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Medicare Enrollment ID | O20091020000739 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821224825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | M2238 (Texas) | Primary |
Provider Name | Olufemi J Abiodun |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1821199464 PECOS PAC ID: 0749255362 Enrollment ID: I20091020000761 |
Provider Name | Ayodele Osowo |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1063552479 PECOS PAC ID: 8628161833 Enrollment ID: I20110908001759 |
Provider Name | Fatema S Uddin |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1144430893 PECOS PAC ID: 4284879495 Enrollment ID: I20130318000043 |
Provider Name | Thuc Quyen Nguyen |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1033378195 PECOS PAC ID: 7416188834 Enrollment ID: I20140328001037 |
Provider Name | Sunbal Zafar |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1225059009 PECOS PAC ID: 3173530938 Enrollment ID: I20150324000109 |
Provider Name | Sydney Nichols |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740754076 PECOS PAC ID: 7618216672 Enrollment ID: I20190308002025 |
Provider Name | Manaury Alvarado Ponce |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184475212 PECOS PAC ID: 2668814187 Enrollment ID: I20240529001485 |
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