| Oakcliff Medical Treatment Clinic | |
|
1401 W Jefferson Blvd Dallas TX 75208-5326 | |
| (214) 941-9200 | |
| Not Available |
| Full Name | Oakcliff Medical Treatment Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1401 W Jefferson Blvd, Dallas, Texas |
| Authorized Official Name and Position | Bruce E. Wardlay (OWNER) |
| Authorized Official Contact | 2149419200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakcliff Medical Treatment Clinic 1401 W Jefferson Blvd Dallas TX 75208-5326 Ph: (214) 941-9200 | Oakcliff Medical Treatment Clinic 1401 W Jefferson Blvd Dallas TX 75208-5326 Ph: (214) 941-9200 |
| NPI Number | 1386765162 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 01/11/2012 |
| Medicare PECOS PAC ID | 5799769477 |
|---|---|
| Medicare Enrollment ID | O20040618000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386765162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert L Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992929947 PECOS PAC ID: 2466345848 Enrollment ID: I20040209000148 |
| Provider Name | Bruce E Wardlay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881810794 PECOS PAC ID: 5698668077 Enrollment ID: I20040209000169 |
| Provider Name | Tuan A Trinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033244553 PECOS PAC ID: 4284610494 Enrollment ID: I20040628001342 |
| Provider Name | Cora L Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639283427 PECOS PAC ID: 1052368206 Enrollment ID: I20050331000504 |
| Provider Name | Wenhua Ma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588656649 PECOS PAC ID: 3274664958 Enrollment ID: I20100624000005 |
| Provider Name | Brian B Rogers |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184828261 PECOS PAC ID: 7416089727 Enrollment ID: I20100722000573 |
| Provider Name | Imre J Kocsis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174668933 PECOS PAC ID: 4587826128 Enrollment ID: I20120427000263 |
| Provider Name | Sie Yeon Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164582011 PECOS PAC ID: 5294057857 Enrollment ID: I20141210000213 |
| Provider Name | Keyna Omenukor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215307715 PECOS PAC ID: 7517963515 Enrollment ID: I20160316001235 |
| Provider Name | Charity Ejiakonye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730567249 PECOS PAC ID: 0345536686 Enrollment ID: I20160913000188 |
| Provider Name | Inita Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568830933 PECOS PAC ID: 8426107814 Enrollment ID: I20160914000098 |
| Provider Name | Christopher J Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720492242 PECOS PAC ID: 8921378837 Enrollment ID: I20170726001875 |
| Provider Name | Diana Iveth Godinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316295249 PECOS PAC ID: 6608139175 Enrollment ID: I20180416000377 |
| Provider Name | Michaela Ermanie Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902305246 PECOS PAC ID: 0547523904 Enrollment ID: I20180417001754 |
| Provider Name | Benjamin Mendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992184626 PECOS PAC ID: 5890091508 Enrollment ID: I20180730002821 |
| Provider Name | Chihoon Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093224081 PECOS PAC ID: 4082969274 Enrollment ID: I20190111002285 |
| Provider Name | Juanita Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902458516 PECOS PAC ID: 7719387927 Enrollment ID: I20210609002671 |
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 |