| General Internal Medicine, Pa | |
|
550 E Ann Arbor Ave Resident And Community Relations Dallas TX 75216-6718 | |
| (214) 375-6262 | |
| (214) 375-6266 |
| Full Name | General Internal Medicine, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 550 E Ann Arbor Ave, Dallas, Texas |
| Authorized Official Name and Position | William S Howard (MANAGING PHYSICIAN) |
| Authorized Official Contact | 2143756262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| General Internal Medicine, Pa 5710 Deloache Ave Dallas TX 75225-3001 Ph: (214) 375-6262 | General Internal Medicine, Pa 550 E Ann Arbor Ave Resident And Community Relations Dallas TX 75216-6718 Ph: (214) 375-6262 |
| NPI Number | 1841244423 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 06/04/2013 |
| Medicare PECOS PAC ID | 8022088863 |
|---|---|
| Medicare Enrollment ID | O20040728001449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841244423 | NPI | - | NPPES |
| 093817703 | Medicaid | TX | |
| 00L10G | Other | TX | BCBS |
| CI9602 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| Provider Name | William S Howard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346342003 PECOS PAC ID: 0941245567 Enrollment ID: I20100819000492 |
| Provider Name | Manuel Tellez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255473195 PECOS PAC ID: 5890930622 Enrollment ID: I20130328000071 |
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