Pearl Medical Clinic | |
8067 W Virginia Dr Suite 101 Dallas TX 75237-3767 | |
(469) 453-2008 | |
Not Available |
Full Name | Pearl Medical Clinic |
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Speciality | Internal Medicine |
Location | 8067 W Virginia Dr, Dallas, Texas |
Authorized Official Name and Position | Ibisunni O Ukegbu (OWNER) |
Authorized Official Contact | 4694532008 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pearl Medical Clinic Po Box 1598 Cedar Hill TX 75106-1598 Ph: (469) 453-2008 | Pearl Medical Clinic 8067 W Virginia Dr Suite 101 Dallas TX 75237-3767 Ph: (469) 453-2008 |
NPI Number | 1861760506 |
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Provider Enumeration Date | 12/08/2011 |
Last Update Date | 03/06/2012 |
Medicare PECOS PAC ID | 4789842410 |
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Medicare Enrollment ID | O20120227000107 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861760506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ibidunni Omolayo Ukegbu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447213194 PECOS PAC ID: 5991772451 Enrollment ID: I20040914000544 |
Provider Name | Indyia Lacount |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972255313 PECOS PAC ID: 1052705860 Enrollment ID: I20220221001879 |
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 |