| Medical Care Of Tennessee Pllc | |
|
1407 Union Ave Memphis TN 38104-3627 | |
| (901) 674-8230 | |
| Not Available |
| Full Name | Medical Care Of Tennessee Pllc |
|---|---|
| Speciality | General Practice |
| Location | 1407 Union Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Joseph N De Vera (MANAGER MEMBER) |
| Authorized Official Contact | 9016748230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Care Of Tennessee Pllc 1407 Union Ave Memphis TN 38104-3627 Ph: (901) 674-8230 | Medical Care Of Tennessee Pllc 1407 Union Ave Memphis TN 38104-3627 Ph: (901) 674-8230 |
| NPI Number | 1982366779 |
|---|---|
| Provider Enumeration Date | 10/08/2021 |
| Last Update Date | 04/22/2022 |
| Medicare PECOS PAC ID | 9436543980 |
|---|---|
| Medicare Enrollment ID | O20220225000812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982366779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Todd V Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831291533 PECOS PAC ID: 2264475680 Enrollment ID: I20050607000698 |
| Provider Name | Jeffery N Hoover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447271291 PECOS PAC ID: 8820170814 Enrollment ID: I20080130000089 |
| Provider Name | Robert F Kulinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700889649 PECOS PAC ID: 5193789907 Enrollment ID: I20100310000286 |
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