| Propercare Internal Medicine Pa | |
|
2727 Bolton Boone Dr Suite 102 Desoto TX 75115-2019 | |
| (972) 283-8777 | |
| (972) 283-9333 |
| Full Name | Propercare Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2727 Bolton Boone Dr, Desoto, Texas |
| Authorized Official Name and Position | Michael O Olatunji (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9722838777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Propercare Internal Medicine Pa 2727 Bolton Boone Dr Suite 102 Desoto TX 75115-2019 Ph: (972) 283-8777 | Propercare Internal Medicine Pa 2727 Bolton Boone Dr Suite 102 Desoto TX 75115-2019 Ph: (972) 283-8777 |
| NPI Number | 1922337088 |
|---|---|
| Provider Enumeration Date | 12/18/2009 |
| Last Update Date | 02/14/2023 |
| Medicare PECOS PAC ID | 2860522182 |
|---|---|
| Medicare Enrollment ID | O20100614000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922337088 | NPI | - | NPPES |
| K06009 | Other | TX | LICENSE |
| M1276 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K06009 (Texas) | Primary |
| Provider Name | Olubayo A Idowu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891818399 PECOS PAC ID: 9537066899 Enrollment ID: I20031215000841 |
| Provider Name | Michael Olaleye Olatunji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750303863 PECOS PAC ID: 3476585233 Enrollment ID: I20050901000456 |
| Provider Name | Lindsay Michelle Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356821284 PECOS PAC ID: 3577970557 Enrollment ID: I20210319000522 |
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Mahesh Kottapalli, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2727 Bolton Boone Dr, Suite109, Desoto, TX 75115 Phone: 972-283-2370 Fax: 972-296-0311 | |
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