Innate Medical Solutions Pllc | |
7504 San Jacinto Pl Plano TX 75024-3233 | |
(972) 789-1234 | |
Not Available |
Full Name | Innate Medical Solutions Pllc |
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Speciality | Family Medicine |
Location | 7504 San Jacinto Pl, Plano, Texas |
Authorized Official Name and Position | Gary Dewayne Martin (PRES) |
Authorized Official Contact | 9727891234 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Innate Medical Solutions Pllc 7504 San Jacinto Pl Plano TX 75024-3233 Ph: (972) 789-1234 | Innate Medical Solutions Pllc 7504 San Jacinto Pl Plano TX 75024-3233 Ph: (972) 789-1234 |
NPI Number | 1902266539 |
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Provider Enumeration Date | 02/24/2016 |
Last Update Date | 11/17/2020 |
Medicare PECOS PAC ID | 9032461561 |
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Medicare Enrollment ID | O20181011001705 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902266539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | AP123042 (Texas) | Primary |
208600000X | Surgery | (* (Not Available)) | Secondary |
Provider Name | Mounir Mekhail |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1235220468 PECOS PAC ID: 9739171794 Enrollment ID: I20040524001121 |
Provider Name | Hung X Vu |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1548234610 PECOS PAC ID: 7012980873 Enrollment ID: I20040819000330 |
Provider Name | Michelle Ann Newton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083710685 PECOS PAC ID: 2668555772 Enrollment ID: I20080213000308 |
Provider Name | Mary K Nye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063672772 PECOS PAC ID: 0941375083 Enrollment ID: I20080825000167 |
Provider Name | Doris E Saunders |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568622652 PECOS PAC ID: 2062571318 Enrollment ID: I20081119000473 |
Provider Name | David E Monty |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1043357999 PECOS PAC ID: 5294877940 Enrollment ID: I20100119000700 |
Provider Name | Connie S Bentley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447243571 PECOS PAC ID: 7618034950 Enrollment ID: I20101006000146 |
Provider Name | Amir Alavi |
---|---|
Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1619991296 PECOS PAC ID: 3870668759 Enrollment ID: I20111206000424 |
Provider Name | Lara Turk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871816090 PECOS PAC ID: 5395910087 Enrollment ID: I20111207000856 |
Provider Name | Loretta Eve Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780952580 PECOS PAC ID: 5698937191 Enrollment ID: I20120430000279 |
Provider Name | Lee Ann Vest |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205295151 PECOS PAC ID: 0840570370 Enrollment ID: I20161129001569 |
Provider Name | Travis T Squyres |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871044115 PECOS PAC ID: 9032499736 Enrollment ID: I20161215002143 |
Provider Name | Fely Ong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710403894 PECOS PAC ID: 9931465184 Enrollment ID: I20171104000103 |
Provider Name | Rachel Conner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831653211 PECOS PAC ID: 1658604178 Enrollment ID: I20190614000620 |
Provider Name | Jacqueline Rush |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760023139 PECOS PAC ID: 9638508146 Enrollment ID: I20200404000586 |
Provider Name | Susan Christine Ortiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174158414 PECOS PAC ID: 0547681199 Enrollment ID: I20200605002306 |
Provider Name | David Eidelson |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1609296987 PECOS PAC ID: 4981036803 Enrollment ID: I20201005000864 |
Provider Name | Shoshauna Franklin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649828534 PECOS PAC ID: 2264831163 Enrollment ID: I20210526001107 |
Provider Name | Bianca L Palmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184214504 PECOS PAC ID: 4385045384 Enrollment ID: I20210629000345 |
Provider Name | Isabelle L Simeni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457939712 PECOS PAC ID: 5890835490 Enrollment ID: I20220106000101 |
Provider Name | Lavonda M Dillard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962048074 PECOS PAC ID: 1951795483 Enrollment ID: I20220228001186 |
Provider Name | Angela Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225549645 PECOS PAC ID: 7618215930 Enrollment ID: I20220404000368 |
Provider Name | Victoria Lynn Salido |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861139149 PECOS PAC ID: 7416332879 Enrollment ID: I20220921001306 |
Provider Name | Tasha Yvette Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972232437 PECOS PAC ID: 3779959986 Enrollment ID: I20221013000038 |
Provider Name | Marylie P Buckoski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649756586 PECOS PAC ID: 4688926389 Enrollment ID: I20221026000306 |
Provider Name | Sadaqat Aleem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649995226 PECOS PAC ID: 7012320666 Enrollment ID: I20230720000611 |
Provider Name | Ginkanwa Agu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396458287 PECOS PAC ID: 5698135515 Enrollment ID: I20230724001777 |
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