| Kiest Park Medical Clinic | |
|
2225 Vatican Ln Dallas TX 75224-4719 | |
| (214) 333-3393 | |
| (214) 333-0809 |
| Full Name | Kiest Park Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2225 Vatican Ln, Dallas, Texas |
| Authorized Official Name and Position | Louis Dale Zegarelli (PHYSICIAN/MEDICAL DIRECTOR) |
| Authorized Official Contact | 2143333393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiest Park Medical Clinic 2225 Vatican Ln Dallas TX 75224-4719 Ph: (214) 333-3393 | Kiest Park Medical Clinic 2225 Vatican Ln Dallas TX 75224-4719 Ph: (214) 333-3393 |
| NPI Number | 1306025614 |
|---|---|
| Provider Enumeration Date | 11/02/2007 |
| Last Update Date | 07/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306025614 | NPI | - | NPPES |
| 146654201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | 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 | |
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 | |
Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
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 | |
Family Practice House Calls Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11882 Greenville Ave, Suite B100, Dallas, TX 75243 Phone: 214-865-7331 Fax: 855-237-5132 |