Joint Regeneration & Arthritis Relief Institute Of Dfw Pllc | |
5072 W Plano Pkwy Ste 220 Plano TX 75093-4475 | |
(469) 671-0900 | |
Not Available |
Full Name | Joint Regeneration & Arthritis Relief Institute Of Dfw Pllc |
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Speciality | Clinic/Center |
Location | 5072 W Plano Pkwy Ste 220, Plano, Texas |
Authorized Official Name and Position | Frederick L Matthews (OWNER) |
Authorized Official Contact | 9179238394 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Joint Regeneration & Arthritis Relief Institute Of Dfw Pllc 205 Oakbluff Dr Murphy TX 75094-3363 Ph: (917) 923-8394 | Joint Regeneration & Arthritis Relief Institute Of Dfw Pllc 5072 W Plano Pkwy Ste 220 Plano TX 75093-4475 Ph: (469) 671-0900 |
NPI Number | 1912504796 |
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Provider Enumeration Date | 10/05/2020 |
Last Update Date | 10/05/2020 |
Medicare PECOS PAC ID | 1658784160 |
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Medicare Enrollment ID | O20201230000372 |
Identifier | Type | State | Issuer |
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1912504796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Corinthia Mcleroy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467762070 PECOS PAC ID: 3274781604 Enrollment ID: I20120910000663 |
Provider Name | Frederick L Matthews |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1144226036 PECOS PAC ID: 5991752040 Enrollment ID: I20170202000454 |
Provider Name | Shatina Lyniece Mccurtis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588235121 PECOS PAC ID: 7214339225 Enrollment ID: I20210714000517 |
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