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4514 Cole Ave Suite 610 Dallas TX 75205-5412 | |
| (214) 559-7135 | |
| (214) 705-3803 |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4514 Cole Ave, Dallas, Texas |
| Authorized Official Name and Position | Kojo A Pobee (OWNER) |
| Authorized Official Contact | 4693238556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5440 Harvest Hill Rd Ste 200 Dallas TX 75230-6415 Ph: (214) 348-7611 | 4514 Cole Ave Suite 610 Dallas TX 75205-5412 Ph: (214) 559-7135 |
| NPI Number | 1285768739 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 01/24/2025 |
| Medicare PECOS PAC ID | 5991806713 |
|---|---|
| Medicare Enrollment ID | O20070724000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285768739 | NPI | - | NPPES |
| 0083PL | Other | TX | BCBS |
| 186550302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | K7592 (Texas) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 647333 (Texas) | Primary |
| Provider Name | Kojo A Pobee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417931148 PECOS PAC ID: 8729089669 Enrollment ID: I20070120000064 |
| Provider Name | Munaimaa Rehmaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902008824 PECOS PAC ID: 5597807446 Enrollment ID: I20100115000255 |
| Provider Name | Tawana M Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104314327 PECOS PAC ID: 1658619051 Enrollment ID: I20190211000439 |
| Provider Name | Olawale M Bankole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356096101 PECOS PAC ID: 8527455997 Enrollment ID: I20220504000449 |
| Provider Name | Sesha Sailu Adusumilli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720212699 PECOS PAC ID: 4385809029 Enrollment ID: I20220801001485 |
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 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Abounding Prosperity, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1619 Martin Luther King Jr Blvd, Dallas, TX 75215 Phone: 469-778-0017 Fax: 469-778-0019 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Metroplex Geriatric Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX 75243 Phone: 972-739-3097 Fax: 972-739-2673 |