Medhealers Housecall Physicians Llc | |
9319 Lyndon B Johnson Fwy Ste 208c Dallas TX 75243-3453 | |
(214) 476-2041 | |
Not Available |
Full Name | Medhealers Housecall Physicians Llc |
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Speciality | Internal Medicine |
Location | 9319 Lyndon B Johnson Fwy Ste 208c, Dallas, Texas |
Authorized Official Name and Position | Javaid Ajmal (CEO/OWNER) |
Authorized Official Contact | 2144762041 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medhealers Housecall Physicians Llc 9319 Lyndon B Johnson Fwy Ste 208c Dallas TX 75243-3453 Ph: () - | Medhealers Housecall Physicians Llc 9319 Lyndon B Johnson Fwy Ste 208c Dallas TX 75243-3453 Ph: (214) 476-2041 |
NPI Number | 1295470433 |
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Provider Enumeration Date | 05/02/2022 |
Last Update Date | 05/02/2022 |
Medicare PECOS PAC ID | 9234517244 |
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Medicare Enrollment ID | O20220603000928 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295470433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
Provider Name | Mario G Gonzalez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669591871 PECOS PAC ID: 5496840530 Enrollment ID: I20140303000508 |
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 | |
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