| Jer Internal Medicine, Pllc | |
|
2909 S Hampton Rd Ste D-107 Dallas TX 75224-3000 | |
| (214) 467-3832 | |
| Not Available |
| Full Name | Jer Internal Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2909 S Hampton Rd Ste D-107, Dallas, Texas |
| Authorized Official Name and Position | Jim Pyle (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2813815494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jer Internal Medicine, Pllc 2909 S Hampton Rd Ste D-107 Dallas TX 75224-3000 Ph: () - | Jer Internal Medicine, Pllc 2909 S Hampton Rd Ste D-107 Dallas TX 75224-3000 Ph: (214) 467-3832 |
| NPI Number | 1013764620 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Medicare PECOS PAC ID | 0941744858 |
|---|---|
| Medicare Enrollment ID | O20240702004593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013764620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James Race |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942268586 PECOS PAC ID: 8325943798 Enrollment ID: I20041022000181 |
| Provider Name | Sierra Nicholle Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386482073 PECOS PAC ID: 6800335159 Enrollment ID: I20241011002687 |
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