| Perpetuum Health Pllc | |
|
2410 Luna Rd Ste 264 Carrollton TX 75006-6563 | |
| (972) 318-9731 | |
| Not Available |
| Full Name | Perpetuum Health Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2410 Luna Rd Ste 264, Carrollton, Texas |
| Authorized Official Name and Position | Ravi B Patel (PHYSICIAN) |
| Authorized Official Contact | 9723189731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perpetuum Health Pllc 2410 Luna Rd Ste 248 Carrollton TX 75006-6578 Ph: (972) 318-9731 | Perpetuum Health Pllc 2410 Luna Rd Ste 264 Carrollton TX 75006-6563 Ph: (972) 318-9731 |
| NPI Number | 1699144154 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 08/02/2024 |
| Medicare PECOS PAC ID | 9234430521 |
|---|---|
| Medicare Enrollment ID | O20151210000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699144154 | NPI | - | NPPES |
| 193503305 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M3058 (Texas) | Primary |
| Provider Name | Ravi B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093764169 PECOS PAC ID: 2365450574 Enrollment ID: I20060330000141 |
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