Grapevine Inpatient Specialists | |
1643 Lancaster Dr Ste 201 Grapevine TX 76051-3593 | |
(972) 510-5150 | |
(972) 852-9094 |
Full Name | Grapevine Inpatient Specialists |
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Speciality | Internal Medicine |
Location | 1643 Lancaster Dr Ste 201, Grapevine, Texas |
Authorized Official Name and Position | Alok P Kushwaha (CEO) |
Authorized Official Contact | 9725105150 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Grapevine Inpatient Specialists 4029 Edgewater Ct Richardson TX 75082-5606 Ph: (972) 510-5150 | Grapevine Inpatient Specialists 1643 Lancaster Dr Ste 201 Grapevine TX 76051-3593 Ph: (972) 510-5150 |
NPI Number | 1528232667 |
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Provider Enumeration Date | 04/18/2008 |
Last Update Date | 02/07/2023 |
Medicare PECOS PAC ID | 4981928629 |
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Medicare Enrollment ID | O20150128001583 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528232667 | NPI | - | NPPES |
Provider Name | Alok Pratap Kushwaha |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922039155 PECOS PAC ID: 3971512807 Enrollment ID: I20071022000308 |
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