| Md Progressive Care Pllc | |
|
3500 Oak Lawn Ave Ste 700 Dallas TX 75219-6719 | |
| (214) 702-6521 | |
| Not Available |
| Full Name | Md Progressive Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3500 Oak Lawn Ave Ste 700, Dallas, Texas |
| Authorized Official Name and Position | Marc Tribble (OWNER) |
| Authorized Official Contact | 2145210100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Progressive Care Pllc 3500 Oak Lawn Ave Ste 700 Dallas TX 75219-6719 Ph: (214) 521-0100 | Md Progressive Care Pllc 3500 Oak Lawn Ave Ste 700 Dallas TX 75219-6719 Ph: (214) 702-6521 |
| NPI Number | 1992347546 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 01/17/2020 |
| Medicare PECOS PAC ID | 8022445063 |
|---|---|
| Medicare Enrollment ID | O20200303002528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992347546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marc A Tribble |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982669883 PECOS PAC ID: 7214020080 Enrollment ID: I20070910000877 |
| Provider Name | Peter Robert Triporo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184050544 PECOS PAC ID: 2860627346 Enrollment ID: I20131109000397 |
| Provider Name | Eric M Klappholz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003258856 PECOS PAC ID: 8224252721 Enrollment ID: I20140623002049 |
| Provider Name | Luis Duniel Valdes Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942835509 PECOS PAC ID: 8921405812 Enrollment ID: I20210920002153 |
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