Genesis Accountable Physician Network, Llc | |
5429 Lbj Fwy Ste 500 Dallas TX 75240-2614 | |
(972) 419-0000 | |
Not Available |
Full Name | Genesis Accountable Physician Network, Llc |
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Speciality | General Practice |
Location | 5429 Lbj Fwy Ste 500, Dallas, Texas |
Authorized Official Name and Position | Charisse Barta (CHAIRMAN OF THE BOARD) |
Authorized Official Contact | 9724033100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Genesis Accountable Physician Network, Llc 5429 Lbj Fwy Ste 500 Dallas TX 75240-2614 Ph: () - | Genesis Accountable Physician Network, Llc 5429 Lbj Fwy Ste 500 Dallas TX 75240-2614 Ph: (972) 419-0000 |
NPI Number | 1285464149 |
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Provider Enumeration Date | 08/06/2024 |
Last Update Date | 08/06/2024 |
Identifier | Type | State | Issuer |
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1285464149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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