Mercy Family Clinic | |
2409 Alco Ave Dallas TX 75211-2614 | |
(214) 942-2377 | |
(214) 942-2977 |
Full Name | Mercy Family Clinic |
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Speciality | Family Medicine |
Location | 2409 Alco Ave, Dallas, Texas |
Authorized Official Name and Position | Ebere Israel Azubuike (PRESIDENT/ CEO) |
Authorized Official Contact | 2149422377 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mercy Family Clinic 2409 Alco Ave Dallas TX 75211-2614 Ph: (214) 942-2377 | Mercy Family Clinic 2409 Alco Ave Dallas TX 75211-2614 Ph: (214) 942-2377 |
NPI Number | 1154560027 |
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Provider Enumeration Date | 02/17/2009 |
Last Update Date | 01/10/2023 |
Medicare PECOS PAC ID | 9537218151 |
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Medicare Enrollment ID | O20090601000107 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154560027 | NPI | - | NPPES |
0069SD | Other | TX | BCBS OF TX |
M9136 | Other | TX | LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M9136 (Texas) | Primary |
Provider Name | Ebere I Azubuike |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275738874 PECOS PAC ID: 8628127248 Enrollment ID: I20090601000101 |
Provider Name | Nadia Nicole Douglas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679973077 PECOS PAC ID: 8426359910 Enrollment ID: I20160419001981 |
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 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Metroplex Geriatric Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX 75243 Phone: 972-739-3097 Fax: 972-739-2673 | |
Family Practice House Calls Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11882 Greenville Ave, Suite B100, Dallas, TX 75243 Phone: 214-865-7331 Fax: 855-237-5132 |