Pa Housecalls | |
5115 N Galloway Ave Ste 203 Mesquite TX 75150-7535 | |
(214) 660-8554 | |
(214) 660-8634 |
Full Name | Pa Housecalls |
---|---|
Speciality | Clinic/Center |
Location | 5115 N Galloway Ave Ste 203, Mesquite, Texas |
Authorized Official Name and Position | Adewumi Adewale Bakare (CEO) |
Authorized Official Contact | 2146608554 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pa Housecalls 5115 N Galloway Ave Ste 203 Mesquite TX 75150-7535 Ph: (214) 660-8554 | Pa Housecalls 5115 N Galloway Ave Ste 203 Mesquite TX 75150-7535 Ph: (214) 660-8554 |
NPI Number | 1134429509 |
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Provider Enumeration Date | 11/01/2010 |
Last Update Date | 05/09/2022 |
Medicare PECOS PAC ID | 5698951234 |
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Medicare Enrollment ID | O20110517000377 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134429509 | NPI | - | NPPES |
283257801 | Medicaid | TX | |
TXB125532 | Other | TX | MEDICARE PART B |
Provider Name | Deandre Brown |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932300779 PECOS PAC ID: 8123180064 Enrollment ID: I20081231000067 |
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