Pioneer Medical Center | |
1321 E Pioneer Parkway #a Arlington TX 76010 | |
(817) 265-8777 | |
(817) 265-0802 |
Full Name | Pioneer Medical Center |
---|---|
Speciality | General Practice |
Location | 1321 E Pioneer Parkway, Arlington, Texas |
Authorized Official Name and Position | Yen Nguyen (OWNER) |
Authorized Official Contact | 8172658777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pioneer Medical Center 1321 E Pioneer Parkway #a Arlington TX 76010 Ph: (817) 265-8777 | Pioneer Medical Center 1321 E Pioneer Parkway #a Arlington TX 76010 Ph: (817) 265-8777 |
NPI Number | 1700983939 |
---|---|
Provider Enumeration Date | 09/20/2006 |
Last Update Date | 11/06/2007 |
Medicare PECOS PAC ID | 8224202833 |
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Medicare Enrollment ID | O20111116000956 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700983939 | NPI | - | NPPES |
0074DP | Other | TX | BCBS |
8A0583 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | J6630 (Texas) | Primary |
Provider Name | Yen V Nguyen |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1013093749 PECOS PAC ID: 8325212954 Enrollment ID: I20111117000137 |
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