| Paris Lakes Health Group Inc | |
|
2675 41st St Se Ste 102 Paris TX 75462-8209 | |
| (903) 739-7700 | |
| Not Available |
| Full Name | Paris Lakes Health Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2675 41st St Se Ste 102, Paris, Texas |
| Authorized Official Name and Position | Laura Williams (PRACTICE MANAGER) |
| Authorized Official Contact | 9036091065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paris Lakes Health Group Inc 9475 Briar Village Pt Ste 220 Colorado Springs CO 80920-7908 Ph: () - | Paris Lakes Health Group Inc 2675 41st St Se Ste 102 Paris TX 75462-8209 Ph: (903) 739-7700 |
| NPI Number | 1871019828 |
|---|---|
| Provider Enumeration Date | 08/21/2017 |
| Last Update Date | 03/06/2019 |
| Medicare PECOS PAC ID | 5698034718 |
|---|---|
| Medicare Enrollment ID | O20180207001908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871019828 | NPI | - | NPPES |
| 393243601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sydney Peralta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518538115 PECOS PAC ID: 4981008216 Enrollment ID: I20210810000269 |
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Paris Lakes Health Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2675 41st St Se Ste 102, Paris, TX 75462 Phone: 903-739-7700 Fax: 903-739-7398 |