| Mainspring Family Care Llc / Mainspring Family Clinic | |
|
609 S Main St Duncanville TX 75116-4713 | |
| (682) 472-2607 | |
| Not Available |
| Full Name | Mainspring Family Care Llc / Mainspring Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 609 S Main St, Duncanville, Texas |
| Authorized Official Name and Position | Shola Akinfiresoye (OWNER) |
| Authorized Official Contact | 6824722607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainspring Family Care Llc / Mainspring Family Clinic 2024 Limestone Dr Grand Prairie TX 75052-2693 Ph: (682) 472-2607 | Mainspring Family Care Llc / Mainspring Family Clinic 609 S Main St Duncanville TX 75116-4713 Ph: (682) 472-2607 |
| NPI Number | 1619583754 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 10/16/2020 |
| Medicare PECOS PAC ID | 9436569456 |
|---|---|
| Medicare Enrollment ID | O20201103001806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619583754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Shola Philip Akinfiresoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104339373 PECOS PAC ID: 9234462953 Enrollment ID: I20201103002434 |
| Provider Name | Benard Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235753690 PECOS PAC ID: 5698179646 Enrollment ID: I20210812002011 |
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