| Premier Cardiology Care Pllc | |
|
2301 S Fm 51 Ste 400 Decatur TX 76234-3864 | |
| (940) 626-2461 | |
| (940) 626-2462 |
| Full Name | Premier Cardiology Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2301 S Fm 51 Ste 400, Decatur, Texas |
| Authorized Official Name and Position | Henock G Zabher (CEO/OWNER) |
| Authorized Official Contact | 9406262461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Cardiology Care Pllc 2301 S Fm 51 Ste 400 Decatur TX 76234-3864 Ph: (940) 626-2461 | Premier Cardiology Care Pllc 2301 S Fm 51 Ste 400 Decatur TX 76234-3864 Ph: (940) 626-2461 |
| NPI Number | 1033752571 |
|---|---|
| Provider Enumeration Date | 10/28/2019 |
| Last Update Date | 02/04/2020 |
| Medicare PECOS PAC ID | 6608202254 |
|---|---|
| Medicare Enrollment ID | O20200130002045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033752571 | NPI | - | NPPES |
| PENDING | Medicaid | TX | |
| H000MJ8301 | Other | TX | BCBSTX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Henock Zabher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003846221 PECOS PAC ID: 6406848704 Enrollment ID: I20170829001148 |
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