| Jrapha Healthcare Services | |
|
13615 Neutron Rd Dallas TX 75244-4411 | |
| (972) 829-0098 | |
| (972) 436-0145 |
| Full Name | Jrapha Healthcare Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 13615 Neutron Rd, Dallas, Texas |
| Authorized Official Name and Position | Olawole Samuel Oluwole (PRESIDENT AND MEDICAL DIRECTOR) |
| Authorized Official Contact | 9728290098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jrapha Healthcare Services 13615 Neutron Rd Dallas TX 75244-4411 Ph: (972) 829-0098 | Jrapha Healthcare Services 13615 Neutron Rd Dallas TX 75244-4411 Ph: (972) 829-0098 |
| NPI Number | 1184711731 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 07/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184711731 | NPI | - | NPPES |
| 160177504 | Medicaid | TX | |
| 180514501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L5497 (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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