|
| |
|
1805 S Great Southwest Pkwy 200 Grand Prairie TX 75051-3502 | |
| (469) 251-0664 | |
| (800) 267-5802 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1805 S Great Southwest Pkwy, Grand Prairie, Texas |
| Authorized Official Name and Position | Larry Duncan (PRESIDENT) |
| Authorized Official Contact | 4692510664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1805 S Great Southwest Pkwy Grand Prairie TX 75051-3502 Ph: (469) 251-0664 | 1805 S Great Southwest Pkwy 200 Grand Prairie TX 75051-3502 Ph: (469) 251-0664 |
| NPI Number | 1770931149 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770931149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 261QM1300X (Texas) | Primary |
Sireesha Janga Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5204 S Hwy 360 Ste 400, Grand Prairie, TX 75052 Phone: 972-755-1785 Fax: 972-602-4522 | |
Arlington Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2950 W. Camp Wisdom Rd., Suite 100, Grand Prairie, TX 75052 Phone: 972-602-4466 Fax: 972-602-4471 | |
Emergentcare2go Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 929 W Pioneer Pkwy Ste A, Grand Prairie, TX 75051 Phone: 214-612-6164 Fax: 817-796-1100 | |
Dfw Better Care Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5204 S Hwy 360 Ste 400, Grand Prairie, TX 75052 Phone: 972-755-1785 Fax: 972-602-4522 | |
Clinica Integral Familia Sana Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2950 W Camp Wisdom Rd Ste 100, Grand Prairie, TX 75052 Phone: 214-235-0114 Fax: 214-677-0043 |