Jill Davenport, Md, Pllc | |
7808 Clodus Fields Dr Dallas TX 75251-2206 | |
(214) 558-9585 | |
Not Available |
Full Name | Jill Davenport, Md, Pllc |
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Speciality | Internal Medicine |
Location | 7808 Clodus Fields Dr, Dallas, Texas |
Authorized Official Name and Position | Jill Davenport (MEDICAL DIRECTOR) |
Authorized Official Contact | 2145589585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jill Davenport, Md, Pllc 6823 Coronado Ave Dallas TX 75214-4015 Ph: (214) 558-9585 | Jill Davenport, Md, Pllc 7808 Clodus Fields Dr Dallas TX 75251-2206 Ph: (214) 558-9585 |
NPI Number | 1578875191 |
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Provider Enumeration Date | 07/12/2010 |
Last Update Date | 07/14/2010 |
Identifier | Type | State | Issuer |
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1578875191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | M4021 (Texas) | Primary |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
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Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
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