| Luminous Medical Solutions Llc | |
|
809 S Macarthur Blvd Ste 400-2 Coppell TX 75019-4260 | |
| (214) 400-5548 | |
| Not Available |
| Full Name | Luminous Medical Solutions Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 809 S Macarthur Blvd Ste 400-2, Coppell, Texas |
| Authorized Official Name and Position | Stergios Zissis (OWNER) |
| Authorized Official Contact | 2144005548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminous Medical Solutions Llc 820 S Macarthur Blvd # 105-164 Coppell TX 75019-4216 Ph: (214) 400-5548 | Luminous Medical Solutions Llc 809 S Macarthur Blvd Ste 400-2 Coppell TX 75019-4260 Ph: (214) 400-5548 |
| NPI Number | 1891481131 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 11/20/2024 |
| Medicare PECOS PAC ID | 2163887654 |
|---|---|
| Medicare Enrollment ID | O20230505002479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891481131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stergios Zissis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083211726 PECOS PAC ID: 3274945266 Enrollment ID: I20221004000125 |
| Provider Name | Handan Hannah Bayram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669982252 PECOS PAC ID: 4183990245 Enrollment ID: I20230509000899 |
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