| O.c Medical Associates Pa | |
|
737 N. Bishop Avenue Ste B Dallas TX 75208 | |
| (214) 946-7651 | |
| Not Available |
| Full Name | O.c Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 737 N. Bishop Avenue, Dallas, Texas |
| Authorized Official Name and Position | Pedro A Cruz (PRESIDENT) |
| Authorized Official Contact | 2149467651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| O.c Medical Associates Pa 737 N. Bishop Avenue Ste B Dallas TX 75208 Ph: (214) 946-7651 | O.c Medical Associates Pa 737 N. Bishop Avenue Ste B Dallas TX 75208 Ph: (214) 946-7651 |
| NPI Number | 1023458650 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 06/27/2013 |
| Medicare PECOS PAC ID | 0840607768 |
|---|---|
| Medicare Enrollment ID | O20210322000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023458650 | NPI | - | NPPES |
| 218106701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E5721 (Texas) | Primary |
| Provider Name | Pedro A Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689604217 PECOS PAC ID: 5597807404 Enrollment ID: I20100114000769 |
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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